Individual provider Active NPI

Lisa Monath, BS, CADCII

  • Addiction (Substance Use Disorder) Counselor
  • Chatsworth, GA
National Provider Identifier
1346464831
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1195 Issued in GA
Practice address
1289 Gi Maddox Pkwy
Chatsworth, GA 30705-2069
Phone
(706) 971-3366
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1195 GA Primary

Addresses

Primary practice location

1289 Gi Maddox Pkwy
Chatsworth, GA 30705-2069

Mailing address

154 Etowah Rd
Benton, TN 37307-3109
Phone (706) 463-9767

Other names 1

  • Lisa Kohli Former name

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
1195GAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1346464831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 ETOWAH RD",
            "city": "BENTON",
            "state": "TN",
            "postal_code": "373073109",
            "telephone_number": "706-463-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 GI MADDOX PKWY",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052069",
            "telephone_number": "706-971-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONATH",
        "first_name": "LISA",
        "credential": "BS, CADCII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "KOHLI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.