Individual provider Active NPI

Andrea G Markum, LPC

  • Mental Health Counselor
  • Alpharetta, GA
National Provider Identifier
1134760291
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010972 Issued in GA
Practice address
5755 N Point Pkwy Ste 205
Alpharetta, GA 30022-1170
Phone
(404) 484-9066
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 010972 GA Primary

Addresses

Primary practice location

5755 N Point Pkwy Ste 205
Alpharetta, GA 30022-1170

Mailing address

5755 N Point Pkwy Ste 205
Alpharetta, GA 30022-1170
Phone (404) 484-9066

Other practice location 1

6 Concourse Pkwy Ste 1650
Sandy Springs, GA 30328-5325
Phone (404) 484-9066

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
010972GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1134760291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY STE 205",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221170",
            "telephone_number": "404-484-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY STE 205",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221170",
            "telephone_number": "404-484-9066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Concourse Pkwy Ste 1650",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303285325",
            "country_code": "US",
            "telephone_number": "404-484-9066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKUM",
        "first_name": "ANDREA",
        "middle_name": "G",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "010972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.