Individual provider Active NPI

Aline Robolin, LPC

  • Professional Counselor
  • Athens, GA
National Provider Identifier
1770631053
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 002575 Issued in GA
Practice address
1492 Prince Ave
Athens, GA 30606-2210
Phone
(706) 614-7341
NPI assigned
Jan 5, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 LPC 002575 GA Primary

Addresses

Primary practice location

1492 Prince Ave
Athens, GA 30606-2210

Mailing address

1492 Prince Ave
Athens, GA 30606-2210
Phone (706) 614-7341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101001229 GA Practitioner - Mental Health Counselor 1052750072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Huntington Rd
Suite 703
Athens, GA 30606-7214
Phone 7064258900705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC 002575GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Space of Athens LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

1 Huntington Rd
Ste 703
Athens, GA 30606
Phone 7064258900705

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770631053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062210",
            "telephone_number": "706-614-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062210",
            "telephone_number": "706-614-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBOLIN",
        "first_name": "ALINE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC 002575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.