Organization Active NPI

Gina Parris LMFT, LLC

  • Marriage & Family Therapist
  • Gainesville, GA
National Provider Identifier
1831689744
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT000719 Issued in GA
Legal business name
GINA PARRIS LMFT, LLC
Practice address
3383 Wolf Dr
Gainesville, GA 30506-1439
Phone
(770) 841-2926
Fax
(770) 874-9083
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Gina Parris, LMFTNPI 1619958865
Title
Owner
Phone
(770) 841-2926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X MFT000719 GA Primary

Addresses

Primary practice location

3383 Wolf Dr
Gainesville, GA 30506-1439

Mailing address

3383 Wolf Dr
Gainesville, GA 30506-1439
Phone (770) 841-2926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240306003206 GA Part B Supplier - Clinic/Group Practice 7113363698 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, GA

National Provider Directory

National Provider Directory

Locations

311 Green St NW
Ste 209
Gainesville, GA 30501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1831689744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3383 WOLF DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305061439",
            "telephone_number": "770-841-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3383 WOLF DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305061439",
            "telephone_number": "770-841-2926",
            "fax_number": "770-874-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA PARRIS LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "PARRIS",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-841-2926",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT000719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.