Individual provider Active NPI

Sasha Lewis Asumaa, LPC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1114180502
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005243 Issued in GA
Practice address
1225 Johnson Ferry Rd Ste 170
Marietta, GA 30068-2727
Phone
(404) 216-1135
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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 LPC005243 GA Primary

Addresses

Primary practice location

1225 Johnson Ferry Rd Ste 170
Marietta, GA 30068-2727

Mailing address

1225 Johnson Ferry Rd Ste 170
Marietta, GA 30068-2727
Phone (404) 216-1135

Other practice location 1

101 Bombay Ln
Roswell, GA 30076-5814
Phone (404) 216-1135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 9, 2024 through Jan 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC005243GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1114180502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 JOHNSON FERRY RD STE 170",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682727",
            "telephone_number": "404-216-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 JOHNSON FERRY RD STE 170",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682727",
            "telephone_number": "404-216-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Bombay Ln",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300765814",
            "country_code": "US",
            "telephone_number": "404-216-1135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASUMAA",
        "first_name": "SASHA",
        "middle_name": "LEWIS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.