Individual provider Active NPI

Lisa Andrews, MA

  • Professional Counselor
  • College Park, GA
National Provider Identifier
1467684456
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006197 Issued in GA
Practice address
1651 Phoenix Blvd
Suite 2
College Park, GA 30349-5552
Phone
(770) 997-1738
Fax
(770) 991-1375
NPI assigned
Aug 10, 2009
Last updated
Apr 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006197 GA Primary

Addresses

Primary practice location

1651 Phoenix Blvd
Suite 2
College Park, GA 30349-5552

Mailing address

1651 Phoenix Blvd
Suite 2
College Park, GA 30349-5552
Phone (770) 997-1738

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

LicenseStateTypeSpecialty
LPC006197GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Snook, PH.D., LLC Professional 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1467684456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 PHOENIX BLVD",
            "address_2": "SUITE 2",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495552",
            "telephone_number": "770-997-1738",
            "fax_number": "770-991-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 PHOENIX BLVD",
            "address_2": "SUITE 2",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303495552",
            "telephone_number": "770-997-1738",
            "fax_number": "770-991-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "LISA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.