Organization Active NPI

Carol a. Difabio, LPC, PC

  • Community/Behavioral Health Agency
  • Alpharetta, GA
National Provider Identifier
1801292008
Registry record updated Nov 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC0002372 Issued in GA
Legal business name
CAROL A. DIFABIO, LPC, PC
Practice address
11815 Northfall LN
Ste. 1006
Alpharetta, GA 30009-7973
Phone
(770) 240-8363
NPI assigned
Nov 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2014

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

Authorized official

Name
Ms. Carol A Difabio, LPC
Title
President
Phone
(770) 240-8363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC0002372 GA Primary

Addresses

Primary practice location

11815 Northfall LN
Ste. 1006
Alpharetta, GA 30009-7973

Mailing address

11815 Northfall LN
Ste. 1006
Alpharetta, GA 30009-7973
Phone (770) 240-8363

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416009600000",
    "number": "1801292008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11815 NORTHFALL LN",
            "address_2": "STE. 1006",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097973",
            "telephone_number": "770-240-8363",
            "fax_number": "770-442-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11815 NORTHFALL LN",
            "address_2": "STE. 1006",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097973",
            "telephone_number": "770-240-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL A. DIFABIO, LPC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-15",
        "last_updated": "2014-11-15",
        "status": "A",
        "authorized_official_last_name": "DIFABIO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-240-8363",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC0002372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2014; 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.