Active NPI
Susan Hoffman
- Professional Counselor
- Duluth, GA
National Provider Identifier
1164913281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC010039
- Practice address
- 10090 Medlock Bridge Rd Ste 110
Duluth, GA 30097-4428 - Phone
- (470) 482-6508
- NPI assigned
- May 24, 2018
- 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 | LPC010039 | GA | Primary |
Addresses
Primary practice location
10090 Medlock Bridge Rd Ste 110
Duluth, GA 30097-4428
Mailing address
247 Southern Hill Dr
Johns Creek, GA 30097-5939
Phone (404) 862-3640
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 |
|---|---|---|---|
| LPC010039 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Recovery Network LLC | Professional | Past | Accepting new patients |
| Personal Recovery Network LLC | Professional | Past | Accepting new patients |
Interoperability endpoints
- lifestancehealth.susanhoffman@124220.advancedmd-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
Professional
-
dba Georgia Behavioral Health Professionals
- Psychiatry Physician
- Johns Creek, GA
- NPI 1912366014
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1164913281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 SOUTHERN HILL DR",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300975939",
"telephone_number": "404-862-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10090 MEDLOCK BRIDGE RD STE 110",
"city": "DULUTH",
"state": "GA",
"postal_code": "300974428",
"telephone_number": "470-482-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-24",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC010039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.