Active NPI
Randall A. Scott
- Marriage & Family Therapist
- Atlanta, GA
National Provider Identifier
1528201282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT 829
- Practice address
- 1996 Cliff Valley Way NE
Suite 106
Atlanta, GA 30329-2449 - Phone
- (404) 633-2334
- NPI assigned
- Apr 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC 1620 | GA | |
| Marriage & Family Therapist | 106H00000X | LMFT 829 | GA | Primary |
Addresses
Primary practice location
1996 Cliff Valley Way NE
Suite 106
Atlanta, GA 30329-2449
Mailing address
2921 Piedmont Rd NE
Suite C
Atlanta, GA 30305-2785
Phone (404) 633-2334
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 |
|---|---|---|---|
| LPC 1620 | GA | MD | Professional Counselor |
| LMFT 829 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1528201282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 PIEDMONT RD NE",
"address_2": "SUITE C",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052785",
"telephone_number": "404-633-2334",
"fax_number": "404-760-1136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1996 CLIFF VALLEY WAY NE",
"address_2": "SUITE 106",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292449",
"telephone_number": "404-633-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "RANDALL",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-10",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC 1620",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "LMFT 829",
"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 Dec 10, 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.