Active NPI
Laura Hafner
- Mental Health Counselor
- Cumming, GA
National Provider Identifier
1770752149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC011335
- Practice address
- 327 Dahlonega St Ste B902
Cumming, GA 30040-2493 - Phone
- (470) 206-3814
- NPI assigned
- Feb 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC011335 | GA | Primary |
| Mental Health Counselor | 101YM0800X | S.0600099 | OH |
Addresses
Primary practice location
327 Dahlonega St Ste B902
Cumming, GA 30040-2493
Mailing address
327 Dahlonega St Ste B902
Cumming, GA 30040-2493
Phone (470) 206-3814
Other practice location 1
282 W Bowery St
Akron, OH 44307-2573
Phone (330) 996-4600
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 |
|---|---|---|---|
| LPC011335 | GA | MD | Mental Health Counselor |
| S.0600099 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pastoral Counseling Service of Summit Co 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1073925624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1770752149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 DAHLONEGA ST STE B902",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402493",
"telephone_number": "470-206-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 DAHLONEGA ST STE B902",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402493",
"telephone_number": "470-206-3814"
}
],
"practiceLocations": [
{
"address_1": "282 W Bowery St",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443072573",
"country_code": "US",
"telephone_number": "330-996-4600",
"fax_number": "330-643-0767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAFNER",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC011335",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "S.0600099",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.