Active NPI
Lisa Renee Terry
- Professional Counselor
- Alpharetta, GA
National Provider Identifier
1881028017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1931
- Practice address
- 11795 Northfall LN
Suite 601
Alpharetta, GA 30009-7968 - Phone
- (770) 645-1733
- Fax
- (678) 566-0743
- NPI assigned
- Aug 23, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1931 | GA | Primary |
Addresses
Primary practice location
11795 Northfall LN
Suite 601
Alpharetta, GA 30009-7968
Mailing address
11795 Northfall LN
Suite 601
Alpharetta, GA 30009-7968
Phone (770) 645-1733
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 |
|---|---|---|---|
| 1931 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1881028017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11795 NORTHFALL LN",
"address_2": "SUITE 601",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300097968",
"telephone_number": "770-645-1733",
"fax_number": "678-566-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11795 NORTHFALL LN",
"address_2": "SUITE 601",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300097968",
"telephone_number": "770-645-1733",
"fax_number": "678-566-0743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "LISA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-23",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "1931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.