Active NPI
Katrina A Dumas, LPC
- Professional Counselor
- Brookhaven, GA
National Provider Identifier
1326603572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC010688
- Practice address
- 2801 Buford Hwy NE Ste 503
Brookhaven, GA 30329-2137 - Phone
- (404) 491-1684
- Fax
- (888) 646-0336
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC010688 | GA | Primary |
Addresses
Primary practice location
2801 Buford Hwy NE Ste 503
Brookhaven, GA 30329-2137
Mailing address
2801 Buford Hwy NE Ste 503
Brookhaven, GA 30329-2137
Phone (404) 491-1684
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kdumas@lightwaypsych.com | Direct | Brandi Tanner, Ph.D., LLC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC010688 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1326603572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 BUFORD HWY NE STE 503",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303292137",
"telephone_number": "404-491-1684",
"fax_number": "888-646-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 BUFORD HWY NE STE 503",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303292137",
"telephone_number": "404-491-1684",
"fax_number": "888-646-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMAS",
"first_name": "KATRINA",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC010688",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kdumas@lightwaypsych.com",
"affiliation": "Y",
"affiliationName": "Brandi Tanner, Ph.D., LLC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2801 Buford Hwy NE Ste 503",
"city": "Brookhaven",
"state": "GA",
"country_code": "US",
"postal_code": "303292137",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.