Sophie Lake Oswin, LPC, MA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

012836 Issued in GA

Practice address

1820 The Exchange SE Ste 550
Atlanta, GA 30339-2088

Phone

(530) 913-8900

NPI assigned

May 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Sophie Monigatti Lake Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1154812220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 SOUTHFACE WAY",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301686364",
            "telephone_number": "530-913-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 THE EXCHANGE SE STE 550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392088",
            "telephone_number": "530-913-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWIN",
        "first_name": "SOPHIE",
        "middle_name": "LAKE",
        "credential": "LPC, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "012836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIE",
            "last_name": "LAKE",
            "middle_name": "MONIGATTI",
            "prefix": "MRS.",
            "credential": "LAPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas R. Oster, M.D.
• Melinda L Ostrom, MPT
• Ashley Osuma, MD
• Adriane Osuri
• Timothy S Oswald, MD
• Ernest Otchere
• Allison S Oteju
• Adejumobi Otekunrin
• Iyabo O Otekunrin, MD
• Emily Louise Othold, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.