Active NPI
Lorena Soares, LPC, NCC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1902232283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007474
- Practice address
- 120 S Park SQ NE
Suite 208
Marietta, GA 30060-8602 - Phone
- (770) 633-6503
- Fax
- (678) 290-6614
- NPI assigned
- Sep 18, 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 | LPC007474 | GA | Primary |
Addresses
Primary practice location
120 S Park SQ NE
Suite 208
Marietta, GA 30060-8602
Mailing address
120 S Park SQ NE
Suite 208
Marietta, GA 30060-8602
Phone (770) 633-6503
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 |
|---|---|---|---|
| LPC007474 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1902232283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S PARK SQ NE",
"address_2": "SUITE 208",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608602",
"telephone_number": "770-633-6503",
"fax_number": "678-290-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S PARK SQ NE",
"address_2": "SUITE 208",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300608602",
"telephone_number": "770-633-6503",
"fax_number": "678-290-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOARES",
"first_name": "LORENA",
"name_prefix": "Mrs.",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.