Organization Active NPI

Heather Kotlerlcsw MPH LLC

  • Adult Mental Health Clinic/Center
  • Decatur, GA
National Provider Identifier
1497214456
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

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.

Verify at the official NPI Registry.