Organization Active NPI

Niki Gori, LPC, LLC

  • Mental Health Counselor
  • Marietta, GA
National Provider Identifier
1336880855
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NIKI GORI, LPC, LLC
Practice address
1640 Powers Ferry Rd SE BLDG 8-150
Marietta, GA 30067-1476
Phone
(404) 487-8535
NPI assigned
Apr 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Tisa Macklin
Title
Billing Manager
Phone
(470) 909-1046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1640 Powers Ferry Rd SE BLDG 8-150
Marietta, GA 30067-1476

Mailing address

1640 Powers Ferry Rd SE BLDG 8-150
Marietta, GA 30067-1476
Phone (404) 487-8535

National Provider Directory

National Provider Directory

Locations

1640 Powers Ferry Rd SE
Bldg 8-150
Marietta, GA 30067
Phone (404) 487-8535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1336880855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE BLDG 8-150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300671476",
            "telephone_number": "404-487-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE BLDG 8-150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300671476",
            "telephone_number": "404-487-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKI GORI, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "MACKLIN",
        "authorized_official_first_name": "TISA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "470-909-1046"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Apr 6, 2022; 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.