Active NPI
Surinder Kaur Bal, PHD
- Professional Counselor
- Alpharetta, GA
National Provider Identifier
1881124105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009342
- Practice address
- 11815 Northfall LN Ste 1006
Alpharetta, GA 30009-7973 - Phone
- (404) 662-6077
- NPI assigned
- Jun 19, 2017
- Last updated
- Jun 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC009342 | GA | Primary |
Addresses
Primary practice location
11815 Northfall LN Ste 1006
Alpharetta, GA 30009-7973
Mailing address
11815 Northfall LN Ste 1006
Alpharetta, GA 30009-7973
Phone (404) 662-6077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XXXXX | Other | I DO NOT HAVE ANY OTHER IDENTIFIERS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009342 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497830400000",
"number": "1881124105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11815 NORTHFALL LN STE 1006",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300097973",
"telephone_number": "404-662-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11815 NORTHFALL LN STE 1006",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300097973",
"telephone_number": "404-662-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAL",
"first_name": "SURINDER",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-19",
"last_updated": "2017-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "I DO NOT HAVE ANY OTHER IDENTIFIERS",
"identifier": "XXXXX",
"state": null
}
],
"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 Jun 19, 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.