Individual provider Active NPI

Lenice Metelo, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1659523009
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005379 Issued in GA
Practice address
181 10TH St NE
Atlanta, GA 30309-4050
Phone
(678) 310-6631
Fax
(866) 907-3948
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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 LPC005379 GA Primary

Addresses

Primary practice location

181 10TH St NE
Atlanta, GA 30309-4050

Mailing address

475 Bottesford Dr NW
Kennesaw, GA 30144-7129
Phone (404) 374-6415

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
LPC005379GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
1 Alliance Counseling & Psychotherapy Services LLC Professional Past Accepting new patients

Organizations & group practices 1

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": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1659523009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 BOTTESFORD DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447129",
            "telephone_number": "404-374-6415",
            "fax_number": "866-907-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 10TH ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094050",
            "telephone_number": "678-310-6631",
            "fax_number": "866-907-3948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METELO",
        "first_name": "LENICE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.