Active NPI
Merry Ware, LPC, NCC
- Professional Counselor
- Tucker, GA
National Provider Identifier
1255846895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009291
- Practice address
- 2206 Hanfred LN Ste 106
Tucker, GA 30084-4809 - Phone
- (678) 871-6543
- NPI assigned
- Dec 5, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC009291 | GA | |
| Professional Counselor | 101YP2500X | LPC009291 | GA | Primary |
Addresses
Primary practice location
2206 Hanfred LN Ste 106
Tucker, GA 30084-4809
Mailing address
3579A Chamblee Tucker Road
#941245
Atlanta, GA 31141
Other practice location 1
3579A Chamblee Tucker Rd
# 941245
Atlanta, GA 31141
Phone (678) 871-6543
Other practice location 2
7698 Covington Hwy
Lithonia, GA 30058
Phone (678) 871-6543
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009291 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Survival 2 Victory, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1871008425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1255846895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3579A CHAMBLEE TUCKER ROAD",
"address_2": "#941245",
"city": "ATLANTA",
"state": "GA",
"postal_code": "31141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 HANFRED LN STE 106",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844809",
"telephone_number": "678-871-6543"
}
],
"practiceLocations": [
{
"address_1": "3579A Chamblee Tucker Rd",
"address_2": "# 941245",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "31141",
"country_code": "US",
"telephone_number": "678-871-6543",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7698 Covington Hwy",
"address_purpose": "LOCATION",
"city": "Lithonia",
"state": "GA",
"postal_code": "30058",
"country_code": "US",
"telephone_number": "678-871-6543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARE",
"first_name": "MERRY",
"name_prefix": "Mrs.",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC009291",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.