Individual provider Active NPI

Eglee Josefina Treber, MED

  • Counselor
  • Marietta, GA
National Provider Identifier
1285822874
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2124 Issued in GA
Practice address
2470 Windy Hill Rd SE
Suite #366a
Marietta, GA 30067-8613
Phone
(404) 421-8650
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2124 GA Primary

Addresses

Primary practice location

2470 Windy Hill Rd SE
Suite #366a
Marietta, GA 30067-8613

Mailing address

5825 Glenridge Dr
Building 3-Suite 101
Sandy Springs, GA 30328-5387
Phone (404) 421-8650

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 Education

State licenses

LicenseStateTypeSpecialty
2124GAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1285822874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR",
            "address_2": "BUILDING 3-SUITE 101",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285387",
            "telephone_number": "404-421-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 WINDY HILL RD SE",
            "address_2": "SUITE #366A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678613",
            "telephone_number": "404-421-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREBER",
        "first_name": "EGLEE",
        "middle_name": "JOSEFINA",
        "name_prefix": "Mrs.",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "2124",
            "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 12, 2015; 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.