Individual provider Active NPI

Lana Samsky, MSW

  • Mental Health Counselor
  • Norcross, GA
National Provider Identifier
1467508762
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
228 Issued in GA
Practice address
3949 Holcomb Bridge Rd
Suite 200
Norcross, GA 30092-2207
Phone
(770) 441-9158
Fax
(770) 393-4068
NPI assigned
Jan 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 228 GA Primary

Addresses

Primary practice location

3949 Holcomb Bridge Rd
Suite 200
Norcross, GA 30092-2207

Mailing address

3949 Holcomb Bridge Rd
Suite 200
Norcross, GA 30092-2207
Phone (770) 441-9158

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
228GAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467508762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922207",
            "telephone_number": "770-441-9158",
            "fax_number": "770-393-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922207",
            "telephone_number": "770-441-9158",
            "fax_number": "770-393-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSKY",
        "first_name": "LANA",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.