Active NPI
Laura Rebekah Land, PHD, LPC, NCC
- Counselor
- Chamblee, GA
National Provider Identifier
1669051397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC010913
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC010913 | GA | MD | Counselor |
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.