Samuel James McIntyre, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC011488 Issued in GA

Practice address

215 Bradley St
Carrollton, GA 30117-3217

Phone

(770) 832-9140

NPI assigned

Dec 7, 2022

Last updated

Dec 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Resolutions Counseling Inc.

  • Professional Counselor
  • Carrollton, GA
  • NPI 1306176797
  NPD

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1144931593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BRADLEY ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173217",
            "telephone_number": "770-832-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 BRADLEY ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173217",
            "telephone_number": "770-832-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "SAMUEL",
        "middle_name": "JAMES",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie McGee, RD, LD, CDCES
• Kenneth R. McGowan, LPC
• John William McGraw, P.T.
• Malaysisa Waydine McIntosh
• Misty Lane McIntyre, MS, LMFT
• Jennifer C McKenna, MD
• Christina McKenzie, OTR/L
• Justin McKinney, L.C.S.W.
• Nicollette McKinnon, FNP-C
• Krist McKoy

• Professional Counselor in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.