Active NPI
Miriam Napolitano-Magaw, LPC
- Professional Counselor
- Acworth, GA
National Provider Identifier
1104068410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005463
- Practice address
- 85 Golf Crest Dr
Suite 309
Acworth, GA 30101-2698 - Phone
- (770) 366-4899
- NPI assigned
- Apr 1, 2009
- Last updated
- Oct 8, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005463 | GA | Primary |
Addresses
Primary practice location
85 Golf Crest Dr
Suite 309
Acworth, GA 30101-2698
Mailing address
85 Golf Crest Dr
Suite 309
Acworth, GA 30101-2698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188988784A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005463 | GA | MD | Professional Counselor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Acworth, GA
- NPI 1770854994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1104068410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 GOLF CREST DR",
"address_2": "SUITE 309",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301012698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 GOLF CREST DR",
"address_2": "SUITE 309",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301012698",
"telephone_number": "770-366-4899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAPOLITANO-MAGAW",
"first_name": "MIRIAM",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-01",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188988784A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.