Active NPI
Jason Michael Magistro, LPC
- Counselor
- Smyrna, GA
National Provider Identifier
1710424262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC009359
- Practice address
- 3188 Atlanta Rd SE
Smyrna, GA 30080-8256 - Phone
- (770) 319-6000
- Fax
- (770) 319-6330
- NPI assigned
- Jan 23, 2017
- Sex
- Male
- 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 | LPC009359 | GA | Primary |
Addresses
Primary practice location
3188 Atlanta Rd SE
Smyrna, GA 30080-8256
Mailing address
2427 Post Village Dr SE
Smyrna, GA 30080-2304
Phone (770) 714-2542
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 |
|---|---|---|---|
| LPC009359 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1710424262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2427 POST VILLAGE DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802304",
"telephone_number": "770-714-2542",
"fax_number": "770-319-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3188 ATLANTA RD SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300808256",
"telephone_number": "770-319-6000",
"fax_number": "770-319-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGISTRO",
"first_name": "JASON",
"middle_name": "MICHAEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-23",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC009359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.