Active NPI
Nadine Josephs
- Professional Counselor
- Loganville, GA
National Provider Identifier
1396944112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 005786
- Practice address
- 3690 Frankie Wade LN
Loganville, GA 30052-5311 - Phone
- (770) 873-8569
- Fax
- (770) 972-5156
- NPI assigned
- Jul 12, 2007
- 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 | LPC 005786 | GA | Primary |
Addresses
Primary practice location
3690 Frankie Wade LN
Loganville, GA 30052-5311
Mailing address
PO Box 3592
Loganville, GA 30052-1979
Phone (770) 873-8569
Other names 1
- Nadine Josephs
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 |
|---|---|---|---|
| LPC 005786 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Josephs Counseling Services, 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.
-
- Professional Counselor
- Loganville, GA
- NPI 1417392317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1396944112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3592",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300521979",
"telephone_number": "770-873-8569",
"fax_number": "770-873-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3690 FRANKIE WADE LN",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300525311",
"telephone_number": "770-873-8569",
"fax_number": "770-972-5156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPHS",
"first_name": "NADINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC 005786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NADINE",
"last_name": "JOSEPHS",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.