Individual provider Active NPI

Tim J Alfrey, MA, LPC

  • Professional Counselor
  • Cumming, GA
National Provider Identifier
1811919798
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0001569 Issued in GA
Practice address
6525 Lancaster Cir
Cumming, GA 30040-7336
Phone
(678) 455-5221
Fax
(678) 455-5221
NPI assigned
Jul 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0001569 GA Primary

Addresses

Primary practice location

6525 Lancaster Cir
Cumming, GA 30040-7336

Mailing address

6525 Lancaster Cir
Cumming, GA 30040-7336
Phone (678) 455-5221

Other names 1

  • Mr. Tim J Alfrey Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0001569GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811919798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 LANCASTER CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407336",
            "telephone_number": "678-455-5221",
            "fax_number": "678-455-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 LANCASTER CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407336",
            "telephone_number": "678-455-5221",
            "fax_number": "678-455-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFREY",
        "first_name": "TIM",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "0001569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIM",
            "last_name": "ALFREY",
            "middle_name": "J",
            "prefix": "MR.",
            "credential": "MA, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.