Individual provider Active NPI

Merry Ware, LPC, NCC

  • Professional Counselor
  • Tucker, GA
National Provider Identifier
1255846895
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009291 Issued in GA
Practice address
2206 Hanfred LN Ste 106
Tucker, GA 30084-4809
Phone
(678) 871-6543
NPI assigned
Dec 5, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 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

LicenseStateTypeSpecialty
LPC009291GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.