Active NPI
Adriana Torres Stanley, LPC
- Professional Counselor
- Smyrna, GA
National Provider Identifier
1477594869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005441
- Practice address
- 3903 S Cobb Dr SE
Suite 235
Smyrna, GA 30080-8504 - Phone
- (770) 667-3877
- Fax
- (770) 667-3879
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 | LPC005441 | GA | Primary |
Addresses
Primary practice location
3903 S Cobb Dr SE
Suite 235
Smyrna, GA 30080-8504
Mailing address
3950 Cobb Pkwy NW
Suite 902
Acworth, GA 30101-9532
Phone (678) 278-8345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026833602 | Medicaid | TX |
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 |
|---|---|---|---|
| LPC005441 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broken Chains International | Professional | Past | Accepting new patients |
| Northside Psychological Services, Inc. | Professional | Past | Accepting new patients |
| Broken Chains International, Inc | Professional | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Acworth, GA
- NPI 1063894533
-
- Mental Health Counselor
- Alpharetta, GA
- NPI 1568527505
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1477594869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 COBB PKWY NW",
"address_2": "SUITE 902",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301019532",
"telephone_number": "678-278-8345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 S COBB DR SE",
"address_2": "SUITE 235",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300808504",
"telephone_number": "770-667-3877",
"fax_number": "770-667-3879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "ADRIANA",
"middle_name": "TORRES",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "026833602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.