Individual provider Active NPI

Michael Barnett, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1790952497
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1706LPC Issued in GA
Practice address
1145 Sheridan Rd NE
Atlanta, GA 30324-3714
Phone
(404) 325-8512
Fax
(404) 325-8733
NPI assigned
May 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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 1706LPC GA Primary

Addresses

Primary practice location

1145 Sheridan Rd NE
Atlanta, GA 30324-3714

Mailing address

1145 Sheridan Rd NE
Atlanta, GA 30324-3714
Phone (404) 325-8512

Other identifiers 1

IdentifierTypeStateIssuer
LPC1706OtherGALPCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 15, 2024 through Mar 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1706LPCGAMDProfessional Counselor
8874CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Judy & Bruce Pemberton, LLC 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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1790952497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 SHERIDAN RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243714",
            "telephone_number": "404-325-8512",
            "fax_number": "404-325-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 SHERIDAN RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243714",
            "telephone_number": "404-325-8512",
            "fax_number": "404-325-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "1706LPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPCA",
            "identifier": "LPC1706",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.