Individual provider Active NPI

Sara Olivia Thompson, LAMFT

  • Marriage & Family Therapist
  • Dunwoody, GA
National Provider Identifier
1194183889
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT000353 Issued in GA
Practice address
2300 Peachford Rd
Unit #2211
Dunwoody, GA 30338-5820
Phone
(770) 454-5677
NPI assigned
Feb 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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 AMFT000353 GA Primary

Addresses

Primary practice location

2300 Peachford Rd
Unit #2211
Dunwoody, GA 30338-5820

Mailing address

2300 Peachford Rd
Unit #2211
Dunwoody, GA 30338-5820
Phone (770) 454-5677

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

LicenseStateTypeSpecialty
AMFT000353GAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1194183889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PEACHFORD RD",
            "address_2": "UNIT #2211",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385820",
            "telephone_number": "770-454-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PEACHFORD RD",
            "address_2": "UNIT #2211",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385820",
            "telephone_number": "770-454-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SARA",
        "middle_name": "OLIVIA",
        "name_prefix": "Miss",
        "credential": "LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "AMFT000353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.