Andrea J. Ramirez, ED.D;LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

006409 Issued in GA

Practice address

1301 Melody LN Ste B
Valdosta, GA 31601

Phone

(229) 834-5986

NPI assigned

Jun 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• L.E.a.F. Therapy Services L.L.C.

  • Community/Behavioral Health Agency
  • Valdosta, GA
  • NPI 1548693039
  NPD (past) Authorized official

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1225322613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3815",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316043815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MELODY LN STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31601",
            "telephone_number": "229-834-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ANDREA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "ED.D;LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "006409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.E.A.F. THERAPY SERVICES L.L.C.",
            "identifier": "1548693039",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celine Raheem
• Ornob Rahman, MD
• Robin Rahn, RBT
• Rainbow ABA LLC
• Rommel Ramesh, MD
• Karamvir Randhawa, MD
• Cheryl Randolph, OT
• Livingstone Ajit Rasalam, M.D.
• Duhwan Rasmussen, DMD
• Kim Rasmussen, APRN-C

• Professional Counselor in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.