Individual provider Active NPI

Laurie Lancaster Patrice, LPC

  • Counselor
  • Suwanee, GA
National Provider Identifier
1831247352
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3972 Issued in GA
Practice address
3455 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-6425
Phone
(770) 634-3285
Fax
(404) 201-2103
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3972 GA Primary

Addresses

Primary practice location

3455 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-6425

Mailing address

3455 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-6425
Phone (770) 634-3285

Other identifiers 1

IdentifierTypeStateIssuer
266292119AMedicaidGA

Other names 1

  • Laurie Patrice Wells Other 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

State licenses

LicenseStateTypeSpecialty
3972GAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1831247352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246425",
            "telephone_number": "770-634-3285",
            "fax_number": "404-201-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246425",
            "telephone_number": "770-634-3285",
            "fax_number": "404-201-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICE",
        "first_name": "LAURIE",
        "middle_name": "LANCASTER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "3972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266292119A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "WELLS",
            "middle_name": "PATRICE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

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