Individual provider Active NPI

Dorothea Erdmuth Lotze-Kola, THM. LMFT

  • Marriage & Family Therapist
  • Norcross, GA
National Provider Identifier
1528640067
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001486 Issued in GA
Practice address
6000 Live Oak Pkwy Ste 108a
Norcross, GA 30093-1732
Phone
(404) 667-6964
NPI assigned
Apr 23, 2021
Last updated
Apr 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001486 GA Primary

Addresses

Primary practice location

6000 Live Oak Pkwy Ste 108a
Norcross, GA 30093-1732

Mailing address

5690 Stow Dr
Tucker, GA 30084-8472
Phone (404) 667-6964

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

LicenseStateTypeSpecialty
MFT001486GAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1528640067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 STOW DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848472",
            "telephone_number": "404-667-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 LIVE OAK PKWY STE 108A",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931732",
            "telephone_number": "404-667-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTZE-KOLA",
        "first_name": "DOROTHEA",
        "middle_name": "ERDMUTH",
        "name_prefix": "Ms.",
        "credential": "THM. LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.