Individual provider Active NPI

Stephanie Marusarz

  • Professional Counselor
  • Dawsonville, GA
National Provider Identifier
1437566080
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009549 Issued in GA
Practice address
137 Prominence CT
St 220
Dawsonville, GA 30534-8953
Phone
(706) 216-4735
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC009549 GA Primary
Professional Counselor 101YP2500X APC004335 GA

Addresses

Primary practice location

137 Prominence CT
St 220
Dawsonville, GA 30534-8953

Mailing address

137 Prominence CT
St 220
Dawsonville, GA 30534-8953
Phone (706) 216-4735

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
APC004335GAMDProfessional Counselor
LPC009549GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pathways Counseling, LLC Professional CurrentSince Mar 24, 2025 Accepting new patients
Alpha Hope Counseling, Inc Professional Past Accepting new patients

Locations

1400 Buford Hwy
Ste K1
Buford, GA 30518
Phone (404) 828-0040

Organizations & group practices 2

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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1437566080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PROMINENCE CT",
            "address_2": "ST 220",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348953",
            "telephone_number": "706-216-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PROMINENCE CT",
            "address_2": "ST 220",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305348953",
            "telephone_number": "706-216-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUSARZ",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009549",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC004335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.