Organization Active NPI

Lara Albanese, LLC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1811362684
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LARA ALBANESE, LLC
Practice address
4343 Shallowford Rd. Suite C2
Marietta, GA 30062
Phone
(678) 346-1233
Fax
(770) 993-9800
NPI assigned
Dec 4, 2015
Last updated
Dec 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Lara E. Albanese, LPC004638NPI 1104456144
Title
LPC
Phone
(678) 346-1233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X GA Primary

Addresses

Primary practice location

4343 Shallowford Rd. Suite C2
Marietta, GA 30062

Mailing address

4343 Shallowford Rd. Suite C2
Marietta, GA 30062
Phone (678) 346-1233

Other identifiers 1

IdentifierTypeStateIssuer
003148245AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1811362684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD. SUITE C2",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "678-346-1233",
            "fax_number": "770-993-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD. SUITE C2",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "678-346-1233",
            "fax_number": "770-993-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARA ALBANESE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "ALBANESE",
        "authorized_official_first_name": "LARA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "678-346-1233",
        "authorized_official_credential": "LPC004638"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003148245A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.