Individual provider Active NPI

Susan Errera, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1649776196
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007249 Issued in GA
Practice address
3193 Howell Mill Rd NW Ste 225
Atlanta, GA 30327-2100
Phone
(770) 293-1950
Fax
(770) 293-1953
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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 LPC007249 GA Primary

Addresses

Primary practice location

3193 Howell Mill Rd NW Ste 225
Atlanta, GA 30327-2100

Mailing address

3600 Crestview Dr SE
Smyrna, GA 30082-3430
Phone (678) 727-3590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 18, 2024 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC007249GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny Van Overbeke Brooks, PH.D., P.C. Past Accepting new patients
Arising Hope Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1649776196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CRESTVIEW DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823430",
            "telephone_number": "678-727-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW STE 225",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272100",
            "telephone_number": "770-293-1950",
            "fax_number": "770-293-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERRERA",
        "first_name": "SUSAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.