Ljubica Blaze Malinajdovska-Bass, PH.D., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004614 Issued in GA

Practice address

3645 Marketplace Blvd
266
East Point, GA 30344-5747

Phone

(678) 754-4584

NPI assigned

Jul 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ljubica Blaze Malinajdovska Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295933877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD",
            "address_2": "266",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445747",
            "telephone_number": "678-754-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD",
            "address_2": "266",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445747",
            "telephone_number": "678-754-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINAJDOVSKA-BASS",
        "first_name": "LJUBICA",
        "middle_name": "BLAZE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LJUBICA",
            "last_name": "MALINAJDOVSKA",
            "middle_name": "BLAZE",
            "prefix": "DR.",
            "credential": "PH.D., LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tincie Marie Lynch
• Destiny Lacara Mack
• Dominic Mack, MD
• John Robert Mack, LMT
• David Joseph Malebranche, M.D., M.P.H
• Andrew James Malinchak, D.O.
• Mark Lynn OD & Associates PC
• Louis G Martin, MD
• Kristasha Martinez
• Jonathan Edward Matey, PT

• Professional Counselor in East Point, GA
• Providers in East Point, GA by specialty
• Professional Counselor in Georgia

• 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.