Individual provider Active NPI

Thomas Andrew Marnell, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1710128178
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC003326 Issued in GA
Practice address
25 Lenox Pointe NE Ste a
Atlanta, GA 30324-7420
Phone
(404) 321-3550
NPI assigned
Mar 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC003326 GA Primary

Addresses

Primary practice location

25 Lenox Pointe NE Ste a
Atlanta, GA 30324-7420

Mailing address

244 E Lake Dr SE
Atlanta, GA 30317-3352
Phone (404) 785-1813

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

LicenseStateTypeSpecialty
LPC003326GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1710128178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 E LAKE DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303173352",
            "telephone_number": "404-785-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LENOX POINTE NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303247420",
            "telephone_number": "404-321-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARNELL",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.