Individual provider Active NPI

Renee Claire Lestrange, PH.D., LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1740469279
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005032 Issued in GA
Practice address
1459 Oxford Rd NE
Ste 301
Atlanta, GA 30307-1046
Phone
(678) 427-0923
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.005202 IL
Professional Counselor 101YP2500X LPC005032 GA Primary

Addresses

Primary practice location

1459 Oxford Rd NE
Ste 301
Atlanta, GA 30307-1046

Mailing address

38 Vinings Lake Dr SW
Mableton, GA 30126-2536
Phone (678) 427-0923

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC005032GAMDProfessional Counselor
180.005202ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1740469279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 VININGS LAKE DR SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262536",
            "telephone_number": "678-427-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 OXFORD RD NE",
            "address_2": "STE 301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071046",
            "telephone_number": "678-427-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTRANGE",
        "first_name": "RENEE",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.005202",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005032",
            "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 Jul 6, 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.