Active NPI
D Dionne Bates, LPC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1366625105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005007
- Practice address
- 2470 Windy Hill Rd SE Ste 300
Marietta, GA 30067-8621 - Phone
- (912) 755-7069
- NPI assigned
- Dec 16, 2007
- Last updated
- Jul 26, 2019
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005007 | GA | Primary |
Addresses
Primary practice location
2470 Windy Hill Rd SE Ste 300
Marietta, GA 30067-8621
Mailing address
2470 Windy Hill Rd SE Ste 300
Marietta, GA 30067-8621
Phone (912) 755-7069
Other practice location 1
150 Medical Way
Suite C-3
Riverdale, GA 30274-2533
Phone (404) 664-4978
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 |
|---|---|---|---|
| LPC005007 | GA | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Statesboro, GA
- NPI 1477959807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1366625105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2470 WINDY HILL RD SE STE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678621",
"telephone_number": "912-755-7069",
"fax_number": "912-480-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 WINDY HILL RD SE STE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300678621",
"telephone_number": "912-755-7069"
}
],
"practiceLocations": [
{
"address_1": "150 Medical Way",
"address_2": "Suite C-3",
"address_purpose": "LOCATION",
"city": "Riverdale",
"state": "GA",
"postal_code": "302742533",
"country_code": "US",
"telephone_number": "404-664-4978",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATES",
"first_name": "D",
"middle_name": "DIONNE",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-16",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005007",
"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 Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.