Active NPI
Amy Martin Bond, LPC
- Professional Counselor
- Decatur, GA
National Provider Identifier
1902224892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC011095
- Practice address
- 559 Quillian Ave
Decatur, GA 30032-4038 - Phone
- (404) 709-1992
- NPI assigned
- Mar 29, 2014
- 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 | LPC011095 | GA | Primary |
Addresses
Primary practice location
559 Quillian Ave
Decatur, GA 30032-4038
Mailing address
559 Quillian Ave # 30032
Decatur, GA 30032-4038
Phone (404) 623-6761
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1902224892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 QUILLIAN AVE # 30032",
"city": "DECATUR",
"state": "GA",
"postal_code": "300324038",
"telephone_number": "404-623-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "559 QUILLIAN AVE",
"city": "DECATUR",
"state": "GA",
"postal_code": "300324038",
"telephone_number": "404-709-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOND",
"first_name": "AMY",
"middle_name": "MARTIN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-29",
"last_updated": "2024-03-29",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.