Active NPI
Lisette Infante, LPC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1144787698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009980
- Practice address
- 881 Ponce de Leon Ave NE Ste 7
Atlanta, GA 30306-4259 - Phone
- (770) 298-3088
- NPI assigned
- Feb 20, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC009980 | GA | Primary |
Addresses
Primary practice location
881 Ponce de Leon Ave NE Ste 7
Atlanta, GA 30306-4259
Mailing address
3840 Fairhill PT
Alpharetta, GA 30004-5027
Phone (770) 375-7798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC009980 | Other | GA | PROFESSIONAL LICENSE |
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 |
|---|---|---|---|
| LPC009980 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1144787698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3840 FAIRHILL PT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300045027",
"telephone_number": "770-375-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "881 PONCE DE LEON AVE NE STE 7",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303064259",
"telephone_number": "770-298-3088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INFANTE",
"first_name": "LISETTE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "LPC009980",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
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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 Jun 11, 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.