Individual provider Active NPI

Marc V Pimsler, LAPC, MA, MAC, NCC

  • Mental Health Counselor
  • Marietta, GA
National Provider Identifier
1598279754
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC006151 Issued in GA
Practice address
2621 Sandy Plains Rd Ste 101
Marietta, GA 30066-4276
Phone
(404) 839-2331
NPI assigned
Nov 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 015786 GA
Mental Health Counselor 101YM0800X APC006151 GA Primary

Addresses

Primary practice location

2621 Sandy Plains Rd Ste 101
Marietta, GA 30066-4276

Mailing address

4718 Shallow Ridge Rd NE
Kennesaw, GA 30144-5303
Phone (404) 839-2331

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
015786GAMDAddiction (Substance Use Disorder) Counselor
APC006151GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1598279754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 SHALLOW RIDGE RD NE",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445303",
            "telephone_number": "404-839-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 SANDY PLAINS RD STE 101",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664276",
            "telephone_number": "404-839-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMSLER",
        "first_name": "MARC",
        "middle_name": "V",
        "credential": "LAPC, MA, MAC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "015786",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC006151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.