Active NPI
Juan La Farrell Edgar
- Marriage & Family Therapist
- Marietta, GA
National Provider Identifier
1376473264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 707 Whitlock Ave SW Ste G6
Marietta, GA 30064-4653 - Phone
- (470) 338-3488
- NPI assigned
- May 21, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | GA | Primary |
Addresses
Primary practice location
707 Whitlock Ave SW Ste G6
Marietta, GA 30064-4653
Mailing address
4180 Mount Paran Dr
Social Circle, GA 30025-3710
Phone (470) 269-9986
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1376473264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4180 MOUNT PARAN DR",
"city": "SOCIAL CIRCLE",
"state": "GA",
"postal_code": "300253710",
"telephone_number": "470-269-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 WHITLOCK AVE SW STE G6",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300644653",
"telephone_number": "470-338-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGAR",
"first_name": "JUAN",
"middle_name": "LA FARRELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-21",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": null,
"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 May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.