Individual provider Active NPI

Lela C. Balboni, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1376841650
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005764 Issued in GA
Practice address
1790 Lavista Rd NE
Emmanual Center
Atlanta, GA 30329-3604
Phone
(404) 467-8643
Fax
(404) 812-3101
NPI assigned
Mar 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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 LPC005764 GA Primary

Addresses

Primary practice location

1790 Lavista Rd NE
Emmanual Center
Atlanta, GA 30329-3604

Mailing address

2950 Mount Wilkinson Pkwy SE
Unit 908
Atlanta, GA 30339-3637
Phone (404) 467-8643

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
LPC005764GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stillpointatlanta, LLC Professional 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1376841650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 MOUNT WILKINSON PKWY SE",
            "address_2": "UNIT 908",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393637",
            "telephone_number": "404-467-8643",
            "fax_number": "404-812-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 LAVISTA RD NE",
            "address_2": "EMMANUAL CENTER",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293604",
            "telephone_number": "404-467-8643",
            "fax_number": "404-812-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBONI",
        "first_name": "LELA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.