Organization Active NPI

Summerlin Marriage and Family Therapy Clinics, LLC

  • Professional Counselor
  • Alpharetta, GA
National Provider Identifier
1215870217
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SUMMERLIN MARRIAGE AND FAMILY THERAPY CLINICS, LLC
Practice address
555 N Point Ctr E # 464
Alpharetta, GA 30022-8269
Phone
(404) 470-3541
NPI assigned
Apr 13, 2026
Last updated
May 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Maria Bibalou-Ngangha, LPCNPI 1265236012
Title
Ceo
Phone
(404) 470-3541

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

555 N Point Ctr E # 464
Alpharetta, GA 30022-8269

Mailing address

555 N Point Ctr E # 464
Alpharetta, GA 30022-8269
Phone (404) 470-3541

Other identifiers 1

IdentifierTypeStateIssuer
8612073OtherGAAETNA

National Provider Directory

National Provider Directory

Locations

555 N Point Ctr E
#464
Alpharetta, GA 30022
Phone (404) 470-3541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1215870217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N POINT CTR E # 464",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228269",
            "telephone_number": "404-470-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N POINT CTR E # 464",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228269",
            "telephone_number": "404-470-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLIN MARRIAGE AND FAMILY THERAPY CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "BIBALOU-NGANGHA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-470-3541",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8612073",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.