Individual provider Active NPI

Lisa J Strube, LPC, CRC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1376161760
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC010992 Issued in GA
Practice address
49 Lenox Pointe NE Ste C
Atlanta, GA 30324-7426
Phone
(404) 549-5152
NPI assigned
Jul 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2020

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 LPC010992 GA Primary

Addresses

Primary practice location

49 Lenox Pointe NE Ste C
Atlanta, GA 30324-7426

Mailing address

49 Lenox Pointe NE Ste C
Atlanta, GA 30324-7426
Phone (404) 549-5152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 19, 2024 through Jan 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC010992GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1594425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594425600000",
    "number": "1376161760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 LENOX POINTE NE STE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303247426",
            "telephone_number": "404-549-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LENOX POINTE NE STE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303247426",
            "telephone_number": "404-549-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUBE",
        "first_name": "LISA",
        "middle_name": "J",
        "credential": "LPC, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-11",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.