Individual provider Active NPI

Marie S Drinko, LIC. PROF. COUNSELOR

  • Mental Health Counselor
  • Kennesaw, GA
National Provider Identifier
1760558563
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC004497 Issued in GA
Practice address
3440 Blue Springs Rd
Ste 503
Kennesaw, GA 30144
Phone
(404) 513-5053
Fax
(770) 975-3507
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC004497 GA Primary

Addresses

Primary practice location

3440 Blue Springs Rd
Ste 503
Kennesaw, GA 30144

Mailing address

3910 Robin CT
Acworth, GA 30101-7244
Phone (770) 975-3206

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

LicenseStateTypeSpecialty
LPC004497GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760558563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 ROBIN CT",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017244",
            "telephone_number": "770-975-3206",
            "fax_number": "770-975-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 BLUE SPRINGS RD",
            "address_2": "STE 503",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30144",
            "telephone_number": "404-513-5053",
            "fax_number": "770-975-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRINKO",
        "first_name": "MARIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LIC. PROF. COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC004497",
            "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 Jul 8, 2007; 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.