Active NPI
Corey Tanner, LPC
- Counselor
- Atlanta, GA
National Provider Identifier
1376908129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC008615
- Practice address
- 2751 Buford Hwy NE
Suite 700
Atlanta, GA 30324-3207 - Phone
- (706) 566-1240
- NPI assigned
- Dec 22, 2015
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC008615 | GA | Primary |
Addresses
Primary practice location
2751 Buford Hwy NE
Suite 700
Atlanta, GA 30324-3207
Mailing address
2751 Buford Hwy NE
Suite 700
Atlanta, GA 30324-3207
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC008615 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1376908129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 BUFORD HWY NE",
"address_2": "SUITE 700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 BUFORD HWY NE",
"address_2": "SUITE 700",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243207",
"telephone_number": "706-566-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "COREY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-22",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC008615",
"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 Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.