Active NPI
Tara Lozano Thrutchley, LPC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1497391395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC7007
- Practice address
- 2033 Hosea L Williams Drive NE
Suite 2
Atlanta, GA 30317 - Phone
- (770) 262-1993
- NPI assigned
- Nov 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | LPC7007 | GA | Primary |
Addresses
Primary practice location
2033 Hosea L Williams Drive NE
Suite 2
Atlanta, GA 30317
Mailing address
2104 Delano Dr NE
Atlanta, GA 30317-1312
Phone (770) 262-1993
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 |
|---|---|---|---|
| LPC7007 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1497391395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 DELANO DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303171312",
"telephone_number": "770-262-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 HOSEA L WILLIAMS DRIVE NE",
"address_2": "SUITE 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30317",
"telephone_number": "770-262-1993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRUTCHLEY",
"first_name": "TARA",
"middle_name": "LOZANO",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC7007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.