Individual provider Active NPI

Laurel Meghan Birch, LPC

  • Counselor
  • Marietta, GA
National Provider Identifier
1659857225
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6319 Issued in LA
Practice address
2830 Missy Dr
Marietta, GA 30062-4327
Phone
(770) 589-0144
NPI assigned
Jul 16, 2018
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC011740 GA
Counselor 101Y00000X 6319 LA Primary

Addresses

Primary practice location

2830 Missy Dr
Marietta, GA 30062-4327

Mailing address

2830 Missy Dr
Marietta, GA 30062-4327
Phone (770) 589-0144

Other practice location 1

7472 Highland Rd
Baton Rouge, LA 70808-6611
Phone (706) 402-8832

Other identifiers 2

IdentifierTypeStateIssuer
6319OtherLALICENSED PROFESSIONAL COUNSELORS BOARD OF EXAMINERS
LPC011740OtherGABOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS, AND MARRIAGE & FAMILY THERAPIS

Other names 1

  • Laurel Lukken Former name

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
LPC011740GAMDCounselor
6319LAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meghan Birch LPC, LLC CurrentSince Jan 28, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1659857225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 MISSY DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624327",
            "telephone_number": "770-589-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 MISSY DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624327",
            "telephone_number": "770-589-0144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7472 Highland Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708086611",
            "country_code": "US",
            "telephone_number": "706-402-8832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "LAUREL",
        "middle_name": "MEGHAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC011740",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "6319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELORS BOARD OF EXAMINERS",
            "identifier": "6319",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS, AND MARRIAGE & FAMILY THERAPIS",
            "identifier": "LPC011740",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "LUKKEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.