Organization Active NPI

Lutheran Services of Georgia, Inc..

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1750727228
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LUTHERAN SERVICES OF GEORGIA, INC..
Practice address
100 Edgewood Ave NE
Suite 1800
Atlanta, GA 30303-3026
Phone
(404) 875-0201
Fax
(404) 591-1030
NPI assigned
May 10, 2013
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Dr. Lucy Mae Cannon, LCSW
Title
Clinical Director
Phone
(404) 875-0201

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

100 Edgewood Ave NE
Suite 1800
Atlanta, GA 30303-3026

Mailing address

100 Edgewood Ave NE
Suite 1800
Atlanta, GA 30303-3026
Phone (404) 875-0201

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1750727228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EDGEWOOD AVE NE",
            "address_2": "SUITE 1800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033026",
            "telephone_number": "404-875-0201",
            "fax_number": "404-591-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EDGEWOOD AVE NE",
            "address_2": "SUITE 1800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033026",
            "telephone_number": "404-875-0201",
            "fax_number": "404-591-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SERVICES OF GEORGIA, INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "404-875-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Aug 13, 2013; 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.