Individual provider Active NPI

Amy Marshall, MS, NCC, LPC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1265890354
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008320 Issued in GA
Practice address
2759 Delk Rd SE
Ste 1200
Marietta, GA 30067-8847
Phone
(678) 401-4596
Fax
(678) 401-3126
NPI assigned
Feb 3, 2016
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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 LPC008320 GA Primary

Addresses

Primary practice location

2759 Delk Rd SE
Ste 1200
Marietta, GA 30067-8847

Mailing address

13614 Weycroft Cir
Alpharetta, GA 30004-8526
Phone (404) 313-9838

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC008320GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A.C.E. Community Support Services, LLC 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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1265890354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13614 WEYCROFT CIR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048526",
            "telephone_number": "404-313-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 DELK RD SE",
            "address_2": "STE 1200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678847",
            "telephone_number": "678-401-4596",
            "fax_number": "678-401-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.