Debra A Dantzler, PH.D., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

05479 Issued in GA

Practice address

131 Ponce de Leon Ave NE
Suite 233
Atlanta, GA 30308-1962

Phone

(404) 272-2770

Fax

(404) 272-2770

NPI assigned

Feb 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

3D Psychotherapy LLCGroup PAC ID 1759728900, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• 3D Psychotherapy, LLC

  • Professional Counselor
  • Decatur, GA
  • NPI 1942743687
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1801035670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S RAYS RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834605",
            "telephone_number": "404-272-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PONCE DE LEON AVE NE",
            "address_2": "SUITE 233",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081962",
            "telephone_number": "404-272-2770",
            "fax_number": "404-272-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTZLER",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "05479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Danso, COTA/L
• Goeto Dantes
• Raymund Barretto Dantes, M.D., M.P.H.
• Vishwanath Raju Danthuluri, MD
• Phani K. Dantuluri, M.D.
• Lisa Ann Danyluk, RN, ACNP-BC
• Ariana Danzy
• Tina Hong Dao, MD
• Georges Emile Daoud, MD
• Ashley Foster Daraei, CPNP

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.