Active NPI
Trina Proctor, LPC
- Professional Counselor
- Smyrna, GA
National Provider Identifier
1679888432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004444
- Practice address
- 4015 S Cobb Dr SE
Ste. 210
Smyrna, GA 30080-6303 - Phone
- (770) 652-0391
- Fax
- (770) 652-0391
- NPI assigned
- Aug 17, 2010
- Last updated
- May 17, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC004444 | GA | Primary |
Addresses
Primary practice location
4015 S Cobb Dr SE
Ste. 210
Smyrna, GA 30080-6303
Mailing address
306 Summer CV SW
Marietta, GA 30060-7816
Phone (770) 652-0391
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 |
|---|---|---|---|
| LPC004444 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1679888432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 SUMMER CV SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607816",
"telephone_number": "770-652-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 S COBB DR SE",
"address_2": "STE. 210",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806303",
"telephone_number": "770-652-0391",
"fax_number": "770-652-0391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "TRINA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-17",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
- Erin Fortenberry Presley, OTR/L
- James Robert Price, DDS
- Primal Healthcare Systems Inc
- Primary Pathways, LLC
- Pro Body Wellness, LLC
- Kirsten Marie Protos, MS, OTR/L
- Provident Group - Creekside Properties LLC (Provident Village at Creekside)
- Psychiatric Consultants Wellness of Atlanta (Pcatlw)
- Psychiatric Medical Specialist of Atlanta
- Psychological Solutions of Atlanta, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.