Individual provider Active NPI

Mariangel L Flynt, LPC

  • Mental Health Counselor
  • Norcross, GA
National Provider Identifier
1811214810
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC000458 Issued in GA
Practice address
6020 Dawson Blvd
Suite I
Norcross, GA 30093-1225
Phone
(770) 662-0249
Fax
(770) 449-5023
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC000458 GA Primary

Addresses

Primary practice location

6020 Dawson Blvd
Suite I
Norcross, GA 30093-1225

Mailing address

932 Guys CT SW
Lilburn, GA 30047-2034
Phone (770) 662-0249

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
LPC000458GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic for Education, Treatment and Prevention of Addiction, Inc. 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": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1811214810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 GUYS CT SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472034",
            "telephone_number": "770-662-0249",
            "fax_number": "770-449-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 DAWSON BLVD",
            "address_2": "SUITE I",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931225",
            "telephone_number": "770-662-0249",
            "fax_number": "770-449-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNT",
        "first_name": "MARIANGEL",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC000458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.