Active NPI
Heather Elson, LPC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1669986642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC011973
- Practice address
- 255 Village Pkwy NE Ste 580
Marietta, GA 30067-4161 - Phone
- (770) 726-9589
- NPI assigned
- Nov 28, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC011973 | GA | Primary |
| Counselor | 101Y00000X | APC006084 | GA |
Addresses
Primary practice location
255 Village Pkwy NE Ste 580
Marietta, GA 30067-4161
Mailing address
615 Colonial Park Dr Ste 202
Roswell, GA 30075-3773
Phone (470) 785-5330
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
| License | State | Type | Specialty |
|---|---|---|---|
| APC006084 | GA | MD | Counselor |
| LPC011973 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Art It Out Therapy Center | 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.
-
- Community/Behavioral Health Agency
- Marietta, GA
- NPI 1508216615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1669986642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 COLONIAL PARK DR STE 202",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753773",
"telephone_number": "470-785-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 VILLAGE PKWY NE STE 580",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300674161",
"telephone_number": "770-726-9589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSON",
"first_name": "HEATHER",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-28",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011973",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "APC006084",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.