Active NPI
Sara Hines Martin, M.S. COUNSELOR
- Professional Counselor
- Acworth, GA
National Provider Identifier
1659393874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCA 1473
- Practice address
- 2365 Highway 92 Ste 100
Acworth, GA 30102-7712 - Phone
- (770) 975-7980
- Fax
- (770) 974-0350
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCA 1473 | GA | Primary |
Addresses
Primary practice location
2365 Highway 92 Ste 100
Acworth, GA 30102-7712
Mailing address
4946 Holborn Way
Acworth, GA 30101-4883
Phone (770) 975-7980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4733 | Other | GA | STATE LPCA LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCA 1473 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659393874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4946 HOLBORN WAY",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301014883",
"telephone_number": "770-975-7980",
"fax_number": "770-974-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 HIGHWAY 92 STE 100",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301027712",
"telephone_number": "770-975-7980",
"fax_number": "770-974-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SARA",
"middle_name": "HINES",
"name_prefix": "Ms.",
"credential": "M.S. COUNSELOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPCA 1473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LPCA LICENSE",
"identifier": "4733",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.