Active NPI
Leonora Camille Austin, DCC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1891141248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10654
- Practice address
- 1690 Ezra Church Dr NW
Atlanta, GA 30314-1807 - Phone
- (404) 545-1190
- NPI assigned
- May 4, 2016
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | GA | ||
| Pastoral Counselor | 101YP1600X | 10654 | GA | |
| Professional Counselor | 101YP2500X | 10654 | GA | Primary |
| Marriage & Family Therapist | 106H00000X | 10654 | GA | |
| Nutrition Education Nutritionist | 133NN1002X | NY | ||
| Case Manager/Care Coordinator | 171M00000X | GA | ||
| Health Educator | 174H00000X | GA |
Addresses
Primary practice location
1690 Ezra Church Dr NW
Atlanta, GA 30314-1807
Mailing address
1690 Ezra Church Dr NW
Atlanta, GA 30314-1807
Phone (404) 545-1190
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 |
|---|---|---|---|
| 10654 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462320000000",
"number": "1891141248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1690 EZRA CHURCH DR NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303141807",
"telephone_number": "404-545-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 EZRA CHURCH DR NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303141807",
"telephone_number": "404-545-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "LEONORA",
"middle_name": "CAMILLE",
"name_prefix": "Dr.",
"credential": "DCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2016-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "GA",
"license": "10654",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "10654",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "10654",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "GA",
"license": null,
"primary": false
}
],
"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 May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.