Individual provider Active NPI

Marguerite Spiotta Booth, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1275236580
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013583 Issued in GA
Practice address
3560 Lenox Rd NE Ste 1230
Atlanta, GA 30326-4335
Phone
(404) 909-6636
NPI assigned
Mar 24, 2023
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 LPC013583 GA Primary

Addresses

Primary practice location

3560 Lenox Rd NE Ste 1230
Atlanta, GA 30326-4335

Mailing address

204 Northcutt St SW
Marietta, GA 30064-3228
Phone (404) 909-6636

Other names 1

  • Marguerite Reid Spiotta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206004102 GA Practitioner - Mental Health Counselor 5092158063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascend Medical Georgia PCGroup PAC ID 8820488745, 24 clinicians

Practice addresses (Care Compare)

619 Rankin St NE
Atlanta, GA 30308-2920
Phone (888) 250-5708

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Medical Georgia II PC CurrentSince Jan 1, 2024 Accepting new patients
Ascend Medical Georgia PC CurrentSince Aug 20, 2025 Accepting new patients

Locations

3560 Lenox Rd NE
Ste 1230
Atlanta, GA 30326
Phone (678) 500-8010

619 Rankin St NE
Atlanta, GA 30308
Phone (404) 874-3102

3660 Howell Ferry Rd
Duluth, GA 30096
Phone (770) 363-7013

Interoperability endpoints

  • Direct secure messaging: marguerite.booth.1@30437.direct.athenahealth.com

Organizations & group practices 2

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": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1275236580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 NORTHCUTT ST SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643228",
            "telephone_number": "404-909-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 LENOX RD NE STE 1230",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303264335",
            "telephone_number": "404-909-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "MARGUERITE",
        "middle_name": "SPIOTTA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGUERITE",
            "last_name": "SPIOTTA",
            "middle_name": "REID",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.