Annalise Robinson, LPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004529 Issued in GA

Legal business name

ANNALISE ROBINSON, LPC, LLC

Practice address

6290 Abbotts Bridge Rd
Suite 502 BLDG 500
Duluth, GA 30097-8495

Phone

(706) 218-9390

Fax

(770) 907-4463

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Maria Annalise Robinson, LPCNPI 1669527511

Title

Owner

Phone

(706) 218-9890

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Annalise Robinson, LPC

  • Professional Counselor
  • Clayton, GA
  • NPI 1669527511
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457406308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 422",
            "city": "TIGER",
            "state": "GA",
            "postal_code": "305760422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 ABBOTTS BRIDGE RD",
            "address_2": "SUITE 502 BLDG 500",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978495",
            "telephone_number": "706-218-9390",
            "fax_number": "770-907-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNALISE ROBINSON, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANNALISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-218-9890",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE COUNSELOR",
            "identifier": "LPC004529",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Duluth, GA
• Providers in Duluth, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.