NPIMap

Individual provider Active NPI

Marshal WM. Lichtenstein, LPC

  • Professional Counselor
  • Alpharetta, GA
National Provider Identifier
1811138407
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1375 Issued in GA
Practice address
1001 Cambridge SQ
Suite B
Alpharetta, GA 30009-1840
Phone
(770) 663-7802
NPI assigned
Mar 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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 1375 GA Primary

Addresses

Primary practice location

1001 Cambridge SQ
Suite B
Alpharetta, GA 30009-1840

Mailing address

1001 Cambridge SQ
Suite B
Alpharetta, GA 30009-1840
Phone (770) 663-7802

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
1375GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Fulton Counseling, Inc. Professional 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, 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": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1811138407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CAMBRIDGE SQ",
            "address_2": "SUITE B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091840",
            "telephone_number": "770-663-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CAMBRIDGE SQ",
            "address_2": "SUITE B",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091840",
            "telephone_number": "770-663-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTENSTEIN",
        "first_name": "MARSHAL",
        "middle_name": "WM.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "1375",
            "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 Mar 12, 2009; 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.