Individual provider Active NPI

Janet Burr, LPC

  • Professional Counselor
  • Kennesaw, GA
National Provider Identifier
1376089177
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007931 Issued in GA
Practice address
1690 Stone Village LN NW Ste 622
Kennesaw, GA 30152-7777
Phone
(678) 481-2183
NPI assigned
Jan 17, 2017
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC007931 GA Primary

Addresses

Primary practice location

1690 Stone Village LN NW Ste 622
Kennesaw, GA 30152-7777

Mailing address

4323 Willis St
Acworth, GA 30101-5450

Other practice location 1

255 Village Pkwy NE
Suite 580
Marietta, GA 30067-4158
Phone (770) 726-9589 ext. 7

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

LicenseStateTypeSpecialty
LPC007931GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Art It Out Therapy Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1376089177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 WILLIS ST",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 STONE VILLAGE LN NW STE 622",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527777",
            "telephone_number": "678-481-2183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Village Pkwy NE",
            "address_2": "Suite 580",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300674158",
            "country_code": "US",
            "telephone_number": "770-726-9589 x7",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURR",
        "first_name": "JANET",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.