Active NPI
Heather Kotlerlcsw MPH LLC
- Adult Mental Health Clinic/Center
- Decatur, GA
National Provider Identifier
1497214456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- HEATHER KOTLERLCSW MPH LLC
- Practice address
- 215 Church St Ste 109
Decatur, GA 30030-3330 - Phone
- (404) 798-7228
- NPI assigned
- Mar 18, 2019
- Last updated
- Mar 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather I Kotler, LCSW MPH
- Title
- Officer
- Phone
- (404) 798-7228
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
215 Church St Ste 109
Decatur, GA 30030-3330
Mailing address
215 Church St Ste 109
Decatur, GA 30030-3330
Phone (404) 798-7228
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Decatur, GA
- NPI 1346583168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552867200000",
"number": "1497214456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 CHURCH ST STE 109",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303330",
"telephone_number": "404-798-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 CHURCH ST STE 109",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303330",
"telephone_number": "404-798-7228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEATHER KOTLERLCSW MPH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-18",
"last_updated": "2019-03-18",
"status": "A",
"authorized_official_last_name": "KOTLER",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "404-798-7228",
"authorized_official_credential": "LCSW MPH"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.