Active NPI
Lori Windham, LPC
- Professional Counselor
- Roswell, GA
National Provider Identifier
1194892893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3369
- Practice address
- 555 Sun Valley Dr
BLDG F Suite 1a
Roswell, GA 30076-5612 - Phone
- (770) 998-0989
- NPI assigned
- Nov 29, 2006
- 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 | 3369 | GA | Primary |
Addresses
Primary practice location
555 Sun Valley Dr
BLDG F Suite 1a
Roswell, GA 30076-5612
Mailing address
555 Sun Valley Dr
BLDG F Suite 1a
Roswell, GA 30076-5612
Phone (770) 998-0989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 28, 2024 through Dec 28, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3369 | GA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194892893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 SUN VALLEY DR",
"address_2": "BLDG F SUITE 1A",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765612",
"telephone_number": "770-998-0989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 SUN VALLEY DR",
"address_2": "BLDG F SUITE 1A",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765612",
"telephone_number": "770-998-0989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDHAM",
"first_name": "LORI",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "3369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.