Active NPI
Marlee J Dent, LPC
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1346500089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC007772
- Practice address
- 383 Georgia Ave SE
Atlanta, GA 30312-3139 - Phone
- (404) 398-2760
- Fax
- (404) 393-1514
- NPI assigned
- May 28, 2012
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC007772 | GA | Primary |
Addresses
Primary practice location
383 Georgia Ave SE
Atlanta, GA 30312-3139
Mailing address
383 Georgia Ave SE
Atlanta, GA 30312-3139
Phone (404) 398-2760
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 |
|---|---|---|---|
| LPC007772 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397865600000",
"number": "1346500089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 GEORGIA AVE SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123139",
"telephone_number": "404-398-2760",
"fax_number": "404-393-1514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 GEORGIA AVE SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123139",
"telephone_number": "404-398-2760",
"fax_number": "404-393-1514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENT",
"first_name": "MARLEE",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-28",
"last_updated": "2014-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC007772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.