Active NPI
Laura Madinger, MED
- Mental Health Counselor
- Woodstock, GA
National Provider Identifier
1902650096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 008446
- Practice address
- 700 Churchill CT Ste 140
Woodstock, GA 30188-6846 - Phone
- (404) 851-7711
- NPI assigned
- Apr 15, 2024
- Last updated
- Apr 15, 2024
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 008446 | GA | Primary |
Addresses
Primary practice location
700 Churchill CT Ste 140
Woodstock, GA 30188-6846
Mailing address
763 Old Paper Mill Dr SE
Marietta, GA 30067-5162
Phone (404) 851-7711
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008446 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1902650096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 OLD PAPER MILL DR SE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300675162",
"telephone_number": "404-851-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHURCHILL CT STE 140",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301886846",
"telephone_number": "404-851-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADINGER",
"first_name": "LAURA",
"credential": "MED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "008446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.