Active NPI
Ryann Soutar, L.A.P.C.
- Professional Counselor
- Roswell, GA
National Provider Identifier
1093163750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC005134
- Practice address
- 702 Macy Dr
Roswell, GA 30076 - Phone
- (770) 855-6733
- NPI assigned
- Jun 2, 2016
- Last updated
- Jun 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC005134 | NU | Primary |
Addresses
Primary practice location
702 Macy Dr
Roswell, GA 30076
Mailing address
252 Gail Ave
Canton, GA 30114-9521
Phone (770) 828-9320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528156800000",
"number": "1093163750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "252 GAIL AVE",
"city": "CANTON",
"state": "GA",
"postal_code": "301149521",
"telephone_number": "770-828-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 MACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30076",
"telephone_number": "770-855-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTAR",
"first_name": "RYANN",
"name_prefix": "Ms.",
"credential": "L.A.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-02",
"last_updated": "2018-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": "APC005134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.