Individual provider Active NPI

Laura Rebekah Land, PHD, LPC, NCC

  • Counselor
  • Chamblee, GA
National Provider Identifier
1669051397
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC010913 Issued in GA
Practice address
2461 Gatebury Cir
Chamblee, GA 30341-2635
Phone
(423) 790-9519
NPI assigned
Apr 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC010913 GA Primary

Addresses

Primary practice location

2461 Gatebury Cir
Chamblee, GA 30341-2635

Mailing address

2461 Gatebury Cir
Chamblee, GA 30341-2635
Phone (423) 790-9519

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://doxy.me/en/ Health Information Exchange (HIE)

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC010913GAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1669051397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 GATEBURY CIR",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412635",
            "telephone_number": "423-790-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 GATEBURY CIR",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412635",
            "telephone_number": "423-790-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "LAURA",
        "middle_name": "REBEKAH",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC010913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://doxy.me/en/",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant, telemedicine platforms",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2461 Gatebury Cir",
            "city": "Chamblee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303412635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.