Individual provider Active NPI

Arefeh Partovi Langkilde, LPC EDS

  • Professional Counselor
  • Douglasville, GA
National Provider Identifier
1265511109
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1822 Issued in GA
Practice address
8309 C Office Park Dr
Douglasville, GA 30134
Phone
(770) 489-2415
Fax
(770) 489-2568
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1822 GA Primary

Addresses

Primary practice location

8309 C Office Park Dr
Douglasville, GA 30134

Mailing address

PO Box 73
Winston, GA 30187
Phone (770) 489-2415

Other names 1

  • Mrs. Arefeh P Langkilde Professional name

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
1822GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265511109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73",
            "city": "WINSTON",
            "state": "GA",
            "postal_code": "30187",
            "telephone_number": "770-489-2415",
            "fax_number": "770-489-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8309 C OFFICE PARK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-489-2415",
            "fax_number": "770-489-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGKILDE",
        "first_name": "AREFEH",
        "middle_name": "PARTOVI",
        "name_prefix": "Mrs.",
        "credential": "LPC EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "1822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AREFEH",
            "last_name": "LANGKILDE",
            "middle_name": "P",
            "prefix": "MRS.",
            "credential": "ED.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.