Individual provider Active NPI

Katrina Todd, MA,LAMFT,BCBA,MT-BC

  • Behavior Analyst
  • Tucker, GA
National Provider Identifier
1851607923
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-10491 Issued in CA
Practice address
3760 Lavista Rd
Suite 102
Tucker, GA 30084-5615
Phone
(678) 626-0557
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-12-10491 CA Primary
Marriage & Family Therapist 106H00000X AMFT000418 GA
Music Therapist 225A00000X MUT000049 GA
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3760 Lavista Rd
Suite 102
Tucker, GA 30084-5615

Mailing address

PO Box 170062
Atlanta, GA 30317-0062
Phone (678) 626-0557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 30, 2025 through Sep 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AMFT000418GAMDMarriage & Family Therapist
MUT000049GAMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Therapy Services, LLC Behavior Analyst Current Accepting new patients
Solid Foundation Christian Academy Past Accepting new patients

Locations

1894 Ludovie Ln
Decatur, GA 30033
Phone (678) 626-0557

3760 Lavista Rd
Ste 102
Tucker, GA 30084
Phone (678) 626-0557

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1851607923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303170062",
            "telephone_number": "678-626-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 LAVISTA RD",
            "address_2": "SUITE 102",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845615",
            "telephone_number": "678-626-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "KATRINA",
        "name_prefix": "Mrs.",
        "credential": "MA,LAMFT,BCBA,MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-12-10491",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "AMFT000418",
            "primary": false
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "GA",
            "license": "MUT000049",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

Verify at the official NPI Registry.