Evie E Bodine, LAPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC 007612 Issued in GA

Practice address

1459 Oxford Rd NE
Atlanta, GA 30307-1046

Phone

(678) 310-5383

NPI assigned

Mar 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1689973984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 PENSDALE RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301413",
            "telephone_number": "678-310-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 OXFORD RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071046",
            "telephone_number": "678-310-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODINE",
        "first_name": "EVIE",
        "middle_name": "E",
        "credential": "LAPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-25",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC 007612",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT 001281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Bodechon
• Brittany Boden, LCSW, CGP
• Scott D. Boden, M.D.
• Mackenzie Bodin
• Patrick Bodin, RN
• Gwendolyn Alexandria Bodkin, MD
• Adriana Alexandra Bodlak, MD
• Arthur D Bodner, DMD
• Gary Roy Bodner, M.D.
• Imre Bodo

• Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.