Active NPI
Lara Albanese, LLC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1811362684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lara E. Albanese, LPC004638
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003148245A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Professional Counselor
- Marietta, GA
- NPI 1104456144
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.