Individual provider Active NPI

Ann Davis Roland, LMFT

  • Marriage & Family Therapist
  • Marietta, GA
National Provider Identifier
1780728386
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
(GA) MFT 000897 Issued in GA
Practice address
21 Trammell Street, SW
Marietta, GA 30064-3249
Phone
(770) 420-9448
Fax
(770) 420-9441
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 897 GA
Marriage & Family Therapist 106H00000X (GA) MFT 000897 GA Primary

Addresses

Primary practice location

21 Trammell Street, SW
Marietta, GA 30064-3249

Mailing address

P.O. Box 515
Marietta, GA 30061-0515
Phone (770) 420-9448

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
(GA) MFT 000897GAMDMarriage & Family Therapist
897GAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Consultants of Marietta, PC Marriage & Family Therapist 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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1780728386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 515",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300610515",
            "telephone_number": "770-420-9448",
            "fax_number": "770-420-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TRAMMELL STREET, SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643249",
            "telephone_number": "770-420-9448",
            "fax_number": "770-420-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "ANN",
        "middle_name": "DAVIS",
        "name_prefix": "Prof.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "897",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "(GA) MFT 000897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

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

Verify at the official NPI Registry.