Active NPI
Loretta Felts
- Addiction (Substance Use Disorder) Counselor
- Atlanta, GA
National Provider Identifier
1508424862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1354
- Practice address
- 1017 Fayetteville Rd SE
Atlanta, GA 30316-2932 - Phone
- (404) 486-9034
- NPI assigned
- Jun 3, 2019
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1354 | GA | Primary |
Addresses
Primary practice location
1017 Fayetteville Rd SE
Atlanta, GA 30316-2932
Mailing address
1017 Fayetteville Rd SE
Atlanta, GA 30316-2932
Phone (404) 486-9034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155 | Medicaid | GA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1508424862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 FAYETTEVILLE RD SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162932",
"telephone_number": "404-486-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 FAYETTEVILLE RD SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303162932",
"telephone_number": "404-486-9034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELTS",
"first_name": "LORETTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "1354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155",
"state": "GA"
}
],
"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 Jun 11, 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.