Katrina Hannah Pittman, ED.D, LPC, NCC, CAMS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC003631 Issued in GA

Practice address

3021 Washington Rd
East Point, GA 30344-4529

Phone

(404) 808-3419

Fax

(678) 289-0789

NPI assigned

Jan 16, 2008

Last updated

Oct 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1477739894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 GOSSAMERE WAY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817006",
            "telephone_number": "678-289-0789",
            "fax_number": "678-289-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 WASHINGTON RD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303444529",
            "telephone_number": "404-808-3419",
            "fax_number": "678-289-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "KATRINA",
        "middle_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "ED.D, LPC, NCC, CAMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC003631",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tanja Pleasant
• PM Home Care Services LLC
• Polaris Allergy Labs, Inc.
• Port-a-Wellness LLC

• Professional Counselor in East Point, GA
• Providers in East Point, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.