Active NPI
Deborah Susan Luper, MA, CAC1
- Addiction (Substance Use Disorder) Counselor
- Cartersville, GA
National Provider Identifier
1437669108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 3433
- Practice address
- 106 Forrest Avenue
A Healing Place
Cartersville, GA 30120 - Phone
- (770) 383-3311
- Fax
- (770) 383-3228
- NPI assigned
- Oct 6, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3433 | GA | Primary |
Addresses
Primary practice location
106 Forrest Avenue
A Healing Place
Cartersville, GA 30120
Mailing address
39 Shoals Ferry Road SE
Rome, GA 30161
Phone (770) 546-1129
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3433 | GA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shel Sharpe MD, 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Rome, GA
- NPI 1366799058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507248000000",
"number": "1437669108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 SHOALS FERRY ROAD SE",
"city": "ROME",
"state": "GA",
"postal_code": "30161",
"telephone_number": "770-546-1129",
"fax_number": "770-383-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 FORREST AVENUE",
"address_2": "A HEALING PLACE",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "30120",
"telephone_number": "770-383-3311",
"fax_number": "770-383-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPER",
"first_name": "DEBORAH",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "MA, CAC1",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-06",
"last_updated": "2017-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "3433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.