Active NPI
Joanna Orrego
- Professional Counselor
- Marietta, GA
National Provider Identifier
1124440938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007580
- Practice address
- 366 Powder Springs St
Suite 212
Marietta, GA 30064-3424 - Phone
- (786) 282-0006
- NPI assigned
- Jan 13, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12019 | FL | |
| Professional Counselor | 101YP2500X | LPC007580 | GA | Primary |
Addresses
Primary practice location
366 Powder Springs St
Suite 212
Marietta, GA 30064-3424
Mailing address
366 Powder Springs St
Suite 212
Marietta, GA 30064-3424
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 |
|---|---|---|---|
| MH12019 | FL | MD | Mental Health Counselor |
| LPC007580 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1124440938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 POWDER SPRINGS ST",
"address_2": "SUITE 212",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300643424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 POWDER SPRINGS ST",
"address_2": "SUITE 212",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300643424",
"telephone_number": "786-282-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORREGO",
"first_name": "JOANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-13",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12019",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.