Individual provider Active NPI

Svetlana Banegas, MS MFT

  • Marriage & Family Therapist
  • Marietta, GA
National Provider Identifier
1164878401
Registry record updated Feb 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001491 Issued in GA
Practice address
70 Whitlock PL SW Ste 300
Marietta, GA 30064-3155
Phone
(770) 316-0813
NPI assigned
May 5, 2016
Last updated
Feb 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001491 GA Primary

Addresses

Primary practice location

70 Whitlock PL SW Ste 300
Marietta, GA 30064-3155

Mailing address

70 Whitlock PL SW Ste 300
Marietta, GA 30064-3155
Phone (770) 316-0813

Other practice location 1

814 Mimosa Blvd
Building C
Roswell, GA 30075-4410
Phone (770) 316-0813

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001491GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Marriage Point, LLC Marriage & Family Therapist CurrentSince Jun 1, 2020 Accepting new patients

Locations

70 Whitlock Pl SW
Ste 300
Marietta, GA 30064
Phone (770) 316-0813

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550880000000",
    "number": "1164878401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WHITLOCK PL SW STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643155",
            "telephone_number": "770-316-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WHITLOCK PL SW STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643155",
            "telephone_number": "770-316-0813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 Mimosa Blvd",
            "address_2": "Building C",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300754410",
            "country_code": "US",
            "telephone_number": "770-316-0813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANEGAS",
        "first_name": "SVETLANA",
        "credential": "MS MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2019-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "001491",
            "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 Feb 23, 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.