Individual provider Active NPI

Katrina L Tripp-Dinkins

  • Mental Health Counselor
  • Fayetteville, GA
National Provider Identifier
1386899334
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC005362 Issued in GA
Practice address
500 W Lanier Ave Ste 904
Fayetteville, GA 30214-7641
Phone
(678) 817-1120
Fax
(770) 719-9738
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC005362 GA Primary

Addresses

Primary practice location

500 W Lanier Ave Ste 904
Fayetteville, GA 30214-7641

Mailing address

500 W Lanier Ave Ste 904
Fayetteville, GA 30214-7641
Phone (678) 817-1120

Other names 1

  • Dr. Katrina L Tripp-Dinkins Professional name

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
LPC005362GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Families United Services, Inc. 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": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1386899334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W LANIER AVE STE 904",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147641",
            "telephone_number": "678-817-1120",
            "fax_number": "770-719-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W LANIER AVE STE 904",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147641",
            "telephone_number": "678-817-1120",
            "fax_number": "770-719-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP-DINKINS",
        "first_name": "KATRINA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC005362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "TRIPP-DINKINS",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.