Active NPI
Eglee Josefina Treber, MED
- Counselor
- Marietta, GA
National Provider Identifier
1285822874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2124
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2124 | GA | MD | Clinical 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.