Active NPI
Deandria Antonease Owens, LPC, NCC, MAC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1871030908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC008011
- Practice address
- 750 Dalrymple Rd
Apt. C-4
Atlanta, GA 30328-1446 - Phone
- (404) 433-6414
- NPI assigned
- Jan 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 510199 | GA | |
| Professional Counselor | 101YP2500X | LPC008011 | GA | Primary |
Addresses
Primary practice location
750 Dalrymple Rd
Apt. C-4
Atlanta, GA 30328-1446
Mailing address
750 Dalrymple Rd
Apt. C-4
Atlanta, GA 30328-1446
Phone (404) 433-6414
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
| License | State | Type | Specialty |
|---|---|---|---|
| 510199 | GA | MD | Addiction (Substance Use Disorder) Counselor |
| LPC008011 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1871030908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 DALRYMPLE RD",
"address_2": "APT. C-4",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303281446",
"telephone_number": "404-433-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 DALRYMPLE RD",
"address_2": "APT. C-4",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303281446",
"telephone_number": "404-433-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "DEANDRIA",
"middle_name": "ANTONEASE",
"name_prefix": "Ms.",
"credential": "LPC, NCC, MAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-26",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "510199",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC008011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.