Individual provider Active NPI

Laura Leigh Ayer, LPC

  • Professional Counselor
  • Suwanee, GA
National Provider Identifier
1750440608
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006128 Issued in GA
Practice address
4411 Suwanee Dam Rd Ste 920
Suwanee, GA 30024-8711
Phone
(770) 655-1687
Fax
(678) 714-9535
NPI assigned
Dec 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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 LPC006128 GA Primary

Addresses

Primary practice location

4411 Suwanee Dam Rd Ste 920
Suwanee, GA 30024-8711

Mailing address

4411 Suwanee Dam Rd Ste 920
Suwanee, GA 30024-8711
Phone (770) 655-1687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 27, 2025 through Feb 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC006128GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Grace Thomas, PH.D.,P.C. Past Accepting new patients
Jeff Weber, Ed.D., P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1750440608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 SUWANEE DAM RD STE 920",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248711",
            "telephone_number": "770-655-1687",
            "fax_number": "678-714-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 SUWANEE DAM RD STE 920",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248711",
            "telephone_number": "770-655-1687",
            "fax_number": "678-714-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYER",
        "first_name": "LAURA",
        "middle_name": "LEIGH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.