Active NPI
Leigh Ann Peterson, LPC, CEAP, SAP
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1396817680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000691
- Practice address
- 1631 Phoenix Blvd
Suite 9
Atlanta, GA 30349-5545 - Phone
- (770) 997-8516
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000691 | GA | Primary |
Addresses
Primary practice location
1631 Phoenix Blvd
Suite 9
Atlanta, GA 30349-5545
Mailing address
2107 Clairmeade Valley Rd NE
Atlanta, GA 30329-1052
Phone (770) 997-8516
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 |
|---|---|---|---|
| 000691 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396817680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 CLAIRMEADE VALLEY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303291052",
"telephone_number": "770-997-8516",
"fax_number": "770-991-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 PHOENIX BLVD",
"address_2": "SUITE 9",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303495545",
"telephone_number": "770-997-8516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "LEIGH ANN",
"credential": "LPC, CEAP, SAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "000691",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.