Active NPI
Whitney Boda, LPC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1740606672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007295
- Practice address
- 3650 Chelsea Cres NE
Atlanta, GA 30319-1623 - Phone
- (770) 337-2089
- NPI assigned
- Mar 17, 2014
- 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 | LPC007295 | GA | Primary |
Addresses
Primary practice location
3650 Chelsea Cres NE
Atlanta, GA 30319-1623
Mailing address
1777 Northeast Expressway Access Road
Suite 175
Atlanta, GA 30329
Phone (770) 337-2089
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 |
|---|---|---|---|
| LPC007295 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1740606672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 NORTHEAST EXPRESSWAY ACCESS ROAD",
"address_2": "SUITE 175",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30329",
"telephone_number": "770-337-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 CHELSEA CRES NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303191623",
"telephone_number": "770-337-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODA",
"first_name": "WHITNEY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-17",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007295",
"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 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.