Individual provider Active NPI

Louisa Peluso, LCSW

  • Mental Health Counselor
  • Cumming, GA
National Provider Identifier
1093463267
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW007264 Issued in GA
Practice address
410 Peachtree Pkwy Ste 4245
Cumming, GA 30041-7407
Phone
(678) 744-3202
Fax
(866) 933-6491
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X CSW007264 GA Primary

Addresses

Primary practice location

410 Peachtree Pkwy Ste 4245
Cumming, GA 30041-7407

Mailing address

33 N Beech Tree Rd
Brookfield, CT 06804-3500
Phone (678) 488-9802

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL louisa@lptherapy.com Health Information Exchange (HIE)
CONNECT URL louisa@lptherapy.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230403001854 GA Practitioner - Clinical Social Worker 0042685158 Reassigns benefits to 1 organization
I20260423000083 CT Practitioner - Clinical Social Worker 0042685158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

100 Pearl St
FL 14
Hartford, CT 06103-4500
Phone (866) 630-0966

3372 Peachtree Rd NE
Suite 115
Atlanta, GA 30326-1963
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Single Specialty CurrentSince Feb 14, 2023 Accepting new patients

Locations

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1093463267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N BEECH TREE RD",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068043500",
            "telephone_number": "678-488-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PEACHTREE PKWY STE 4245",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417407",
            "telephone_number": "678-744-3202",
            "fax_number": "866-933-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELUSO",
        "first_name": "LOUISA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW007264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "louisa@lptherapy.com",
            "affiliation": "N",
            "endpointDescription": "Email contact",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "410 Peachtree Pkwy Ste 4245",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300417407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "louisa@lptherapy.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "410 Peachtree Pkwy Ste 4245",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300417407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.