Active NPI
Stephanie Westbrook, LPC
- Professional Counselor
- Fairburn, GA
National Provider Identifier
1457984262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 007941
- Practice address
- 5847 Landers Loop
Fairburn, GA 30213 - Phone
- (404) 989-0539
- NPI assigned
- Feb 20, 2020
- Last updated
- Aug 21, 2020
- 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 | 007941 | GA | Primary |
Addresses
Primary practice location
5847 Landers Loop
Fairburn, GA 30213
Mailing address
1029 N Peachtree Pkwy Ste 140
Peachtree City, GA 30269-4210
Phone (404) 989-0539
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | STEPH_WEST@YAHOO.COM |
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 |
|---|---|---|---|
| 007941 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Lotus Center for Counseling and Wellness LLC | Professional | Current | Accepting new patients |
Locations
1029 N Peachtree Pkwy
Peachtree Cty, GA 30269
Phone (404) 293-1109
Interoperability endpoints
- stephaniewestbrook@tdh.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1457984262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 N PEACHTREE PKWY STE 140",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694210",
"telephone_number": "404-989-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5847 LANDERS LOOP",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "30213",
"telephone_number": "404-989-0539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTBROOK",
"first_name": "STEPHANIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-20",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "007941",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "STEPH_WEST@YAHOO.COM",
"affiliation": "N",
"address_1": "155 Newfield Dr",
"city": "Tyrone",
"state": "GA",
"country_code": "US",
"postal_code": "302902570",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fairburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.