Individual provider Active NPI

Marilyn Veal, ED.S, M.S.

  • Counselor
  • Kennesaw, GA
National Provider Identifier
1639719412
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
6095 Pine Mountain Rd NW Ste 105
Kennesaw, GA 30152-3332
Phone
(678) 217-7529
NPI assigned
Jan 9, 2020
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

6095 Pine Mountain Rd NW Ste 105
Kennesaw, GA 30152-3332

Mailing address

4194 Winthrop Downs NW
Kennesaw, GA 30144-6142
Phone (404) 422-1926

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1639719412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4194 WINTHROP DOWNS NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446142",
            "telephone_number": "404-422-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6095 PINE MOUNTAIN RD NW STE 105",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523332",
            "telephone_number": "678-217-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAL",
        "first_name": "MARILYN",
        "credential": "ED.S, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.