Active NPI
Zsa Zsa Heard, LPC
- Professional Counselor
- Lagrange, GA
National Provider Identifier
1760642680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004885
- Practice address
- 111B Corporate Park East Dr
Lagrange, GA 30241-3680 - Phone
- (706) 884-1080
- Fax
- (706) 812-8866
- NPI assigned
- Jun 13, 2008
- Last updated
- Jun 13, 2008
- 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 | LPC004885 | GA | Primary |
Addresses
Primary practice location
111B Corporate Park East Dr
Lagrange, GA 30241-3680
Mailing address
111B Corporate Park East Dr
Lagrange, GA 30241-3680
Phone (706) 884-1080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 514073675A | Medicaid | GA |
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 |
|---|---|---|---|
| LPC004885 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Creative Growth and Human Development, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Lagrange, GA
- NPI 1205027398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213315200000",
"number": "1760642680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111B CORPORATE PARK EAST DR",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302413680",
"telephone_number": "706-884-1080",
"fax_number": "706-812-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111B CORPORATE PARK EAST DR",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302413680",
"telephone_number": "706-884-1080",
"fax_number": "706-812-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "ZSA ZSA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-13",
"last_updated": "2008-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "514073675A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lagrange, GA
- Healthstat on-Site Clinic/Milliken Kex
- Healthstat on-Site Clinic/Milliken Live Oak
- Healthstat on-Site Clinic/Milliken Valway
- Healthy Living Chiropractic, LLC
- Nashia Keyair Heard, FNP-C
- Hearing Healthcare of Lagrange
- Heart & Vascular Care of Georgia PC
- Hearth of the Heart, LLC
- Katherine A. Hemby, M.D.
- Tacara Nichole Hemingway, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.