Geoffrey Lynn Paetzhold, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC002488 Issued in GA

Practice address

1262 Concord Rd SE
Suite 204
Smyrna, GA 30080-4376

Phone

(404) 474-4596

Fax

(404) 474-7201

NPI assigned

Sep 7, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1457600280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 CONCORD RD SE",
            "address_2": "SUITE 204",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804376",
            "telephone_number": "404-474-4596",
            "fax_number": "404-474-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 CONCORD RD SE",
            "address_2": "SUITE 204",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804376",
            "telephone_number": "404-474-4596",
            "fax_number": "404-474-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAETZHOLD",
        "first_name": "GEOFFREY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC002488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.