Individual provider Active NPI

Heather Mainard, LPC

  • Professional Counselor
  • Johns Creek, GA
National Provider Identifier
1639923618
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC015014 Issued in GA
Practice address
11585 Jones Bridge Rd Ste 420
Johns Creek, GA 30022-7476
Phone
(770) 282-7733
NPI assigned
Apr 15, 2024
Last updated
Jan 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC015014 GA Primary

Addresses

Primary practice location

11585 Jones Bridge Rd Ste 420
Johns Creek, GA 30022-7476

Mailing address

11585 Jones Bridge Rd Ste 420
Johns Creek, GA 30022-7476
Phone (770) 282-7733

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
LPC015014GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1639923618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11585 JONES BRIDGE RD STE 420",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227476",
            "telephone_number": "770-282-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11585 JONES BRIDGE RD STE 420",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227476",
            "telephone_number": "770-282-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINARD",
        "first_name": "HEATHER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; 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.