Individual provider Active NPI

Lornette Dunbar, LPC

  • Professional Counselor
  • Fayetteville, GA
National Provider Identifier
1215347604
Registry record updated Jun 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
007396 Issued in GA
Practice address
500 Lanier Ave W Ste 301
Fayetteville, GA 30214-7639
Phone
(678) 586-3886
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 007396 GA Primary

Addresses

Primary practice location

500 Lanier Ave W Ste 301
Fayetteville, GA 30214-7639

Mailing address

500 Lanier Ave W Ste 301
Fayetteville, GA 30214-7639
Phone (678) 586-3886

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.psychselect.com Direct
CONNECT URL https://www.psychselect.com Direct

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
007396GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559952000000",
    "number": "1215347604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 301",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147639",
            "telephone_number": "678-586-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 301",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147639",
            "telephone_number": "678-586-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "LORNETTE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2019-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "007396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychselect.com",
            "affiliation": "N",
            "endpointDescription": "Online administrative support",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Used for storing client information, submit insurance claims, billing, scheduling clients, and store  client notes.",
            "address_1": "500 Lanier Ave W Ste 301",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302147639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychselect.com",
            "affiliation": "N",
            "endpointDescription": "Online Administrative Support",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Used for storing client information, insurance claims, billing, scheduling clients, notes, and submitting claims.",
            "address_1": "500 Lanier Ave W Ste 301",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302147639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.