Active NPI
Brooke Owens, LPC
- Professional Counselor
- Kennesaw, GA
National Provider Identifier
1740563873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005312
- Practice address
- 1301 Shiloh Rd NW
Ste 710
Kennesaw, GA 30144-7147 - Phone
- (770) 792-0079
- Fax
- (888) 394-1986
- NPI assigned
- Sep 26, 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 | LPC005312 | GA | Primary |
Addresses
Primary practice location
1301 Shiloh Rd NW
Ste 710
Kennesaw, GA 30144-7147
Mailing address
57 Mountain View Dr
Rockmart, GA 30153-1536
Phone (770) 265-3344
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 |
|---|---|---|---|
| LPC005312 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1740563873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 MOUNTAIN VIEW DR",
"city": "ROCKMART",
"state": "GA",
"postal_code": "301531536",
"telephone_number": "770-265-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SHILOH RD NW",
"address_2": "STE 710",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301447147",
"telephone_number": "770-792-0079",
"fax_number": "888-394-1986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "BROOKE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.