Individual provider Active NPI

Talina Rodriguez Landestoy

  • Mental Health Counselor
  • Lithonia, GA
National Provider Identifier
1376133223
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC007677 Issued in GA
Practice address
2910 Evans Mill Rd
Lithonia, GA 30038-2481
Phone
(404) 500-8387
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC007677 GA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1403

Addresses

Primary practice location

2910 Evans Mill Rd
Lithonia, GA 30038-2481

Mailing address

2910 Evans Mill Rd # B83
Lithonia, GA 30038-2481
Phone (404) 788-8094

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
APC007677GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1376133223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 EVANS MILL RD # B83",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382481",
            "telephone_number": "404-788-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 EVANS MILL RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382481",
            "telephone_number": "404-500-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDESTOY",
        "first_name": "TALINA",
        "middle_name": "RODRIGUEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007677",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "1403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.