Active NPI
Stephen E Byrd
- Mental Health Counselor
- Canton, GA
National Provider Identifier
1558638981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC006584
- Practice address
- 191 Lamar Haley Pkwy.
Canton, GA 30114 - Phone
- (770) 704-1600
- Fax
- (770) 704-1610
- NPI assigned
- Nov 30, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC006584 | GA | Primary |
Addresses
Primary practice location
191 Lamar Haley Pkwy.
Canton, GA 30114
Mailing address
191 Lamar Haley Pkwy.
Canton, GA 30114
Phone (770) 704-1600
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 |
|---|---|---|---|
| LPC006584 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1558638981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 LAMAR HALEY PKWY.",
"city": "CANTON",
"state": "GA",
"postal_code": "30114",
"telephone_number": "770-704-1600",
"fax_number": "770-704-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 LAMAR HALEY PKWY.",
"city": "CANTON",
"state": "GA",
"postal_code": "30114",
"telephone_number": "770-704-1600",
"fax_number": "770-704-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "STEPHEN",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-30",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC006584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.