Active NPI
Laura Beth Temin, MA, LPC, LMFT, DCC,
- Marriage & Family Therapist
- Roswell, GA
National Provider Identifier
1093968349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT001147
- Practice address
- 1025 Old Roswell Rd Ste 103
Roswell, GA 30076-1615 - Phone
- (770) 998-3881
- Fax
- (678) 878-2502
- NPI assigned
- Oct 30, 2008
- Last updated
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005619 | GA | |
| Marriage & Family Therapist | 106H00000X | MFT001147 | GA | Primary |
Addresses
Primary practice location
1025 Old Roswell Rd Ste 103
Roswell, GA 30076-1615
Mailing address
1732 Tolleson CT
Dunwoody, GA 30338-3617
Phone (770) 998-3881
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005619 | GA | MD | Professional Counselor |
| MFT001147 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1093968349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1732 TOLLESON CT",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303383617",
"telephone_number": "770-998-3881",
"fax_number": "678-878-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 OLD ROSWELL RD STE 103",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761615",
"telephone_number": "770-998-3881",
"fax_number": "678-878-2502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMIN",
"first_name": "LAURA",
"middle_name": "BETH",
"credential": "MA, LPC, LMFT, DCC,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-30",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005619",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001147",
"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 Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.