Individual provider Active NPI

Lanina Elizabeth Mompremier, PHD

  • Clinical Psychologist
  • Stone MTN, GA
National Provider Identifier
1780242164
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1000830 Issued in DC
Practice address
5011 Oak Tree LN
Stone MTN, GA 30087-3289
Phone
(240) 339-3518
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 08100004543 VA
Clinical Psychologist 103TC0700X 05139 MD
Clinical Psychologist 103TC0700X PSY1000830 DC Primary

Addresses

Primary practice location

5011 Oak Tree LN
Stone MTN, GA 30087-3289

Mailing address

1227 Rockbridge Rd. SW
Ste 208, Box 364
Stone Moutain, GA 30087
Phone (240) 339-3518

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1000830DCMDClinical Psychologist
05139MDMDClinical Psychologist
08100004543VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Creating Sustaining Joy LLC Clinical CurrentSince Mar 30, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical Past Accepting new patients

Locations

1227 Rockbridge Rd
Ste 208
Stone Mountain, GA 30087
Phone (404) 828-0220

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1780242164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 ROCKBRIDGE RD. SW",
            "address_2": "STE 208, BOX 364",
            "city": "STONE MOUTAIN",
            "state": "GA",
            "postal_code": "30087",
            "telephone_number": "240-339-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 OAK TREE LN",
            "city": "STONE MTN",
            "state": "GA",
            "postal_code": "300873289",
            "telephone_number": "240-339-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMPREMIER",
        "first_name": "LANINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "08100004543",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05139",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone MTN, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.