Individual provider Active NPI

Alina M Stelzer, L.P.C.

  • Professional Counselor
  • Kennesaw, GA
National Provider Identifier
1093958274
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005571 Issued in GA
Practice address
125 Townpark Dr NW
Suite 300
Kennesaw, GA 30144-5803
Phone
(404) 788-7980
Fax
(770) 628-7316
NPI assigned
Apr 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC005571 GA Primary

Addresses

Primary practice location

125 Townpark Dr NW
Suite 300
Kennesaw, GA 30144-5803

Mailing address

414 McAfee CT NW
Kennesaw, GA 30144-3811
Phone (404) 788-7980

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

State licenses

LicenseStateTypeSpecialty
LPC005571GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling & Psychological Consulting, LLC CurrentSince Aug 28, 2021 Accepting new patients

Locations

125 Townpark Dr NW
Ste 300
Kennesaw, GA 30144
Phone (855) 423-6287

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": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1093958274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MCAFEE CT NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443811",
            "telephone_number": "404-788-7980",
            "fax_number": "770-628-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOWNPARK DR NW",
            "address_2": "SUITE 300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445803",
            "telephone_number": "404-788-7980",
            "fax_number": "770-628-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELZER",
        "first_name": "ALINA",
        "middle_name": "M",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.