Individual provider Active NPI

Laura Hafner

  • Mental Health Counselor
  • Cumming, GA
National Provider Identifier
1770752149
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC011335 Issued in GA
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

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LPC011335GAMDMental Health Counselor
S.0600099OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.