Individual provider Active NPI

Alicia Babenco Oberhand, LPC

  • Professional Counselor
  • Alpharetta, GA
National Provider Identifier
1255465845
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC010625 Issued in GA
Practice address
5480 McGinnis Village PL Ste 104
Alpharetta, GA 30005-1746
Phone
(973) 477-3131
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00245800 NJ
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC010625 GA Primary

Addresses

Primary practice location

5480 McGinnis Village PL Ste 104
Alpharetta, GA 30005-1746

Mailing address

230 Kaolin CT
Johns Creek, GA 30022-7365
Phone (973) 477-3131

Other identifiers 1

IdentifierTypeStateIssuer
LPC010625OtherGAPROFESSIONAL COUNSELOR

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
37PC00245800NJMDMental Health Counselor
LPC010625GAMDProfessional Counselor

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.aliciaoberhand@124220.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1255465845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 KAOLIN CT",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227365",
            "telephone_number": "973-477-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 MCGINNIS VILLAGE PL STE 104",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051746",
            "telephone_number": "973-477-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERHAND",
        "first_name": "ALICIA",
        "middle_name": "BABENCO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-09-29",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00245800",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR",
            "identifier": "LPC010625",
            "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 Sep 29, 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.