Individual provider Active NPI

Luiz Torreao

  • Professional Counselor
  • McDonough, GA
National Provider Identifier
1942813696
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011655 Issued in GA
Practice address
139 Henry Pkwy
McDonough, GA 30253-6636
Phone
(770) 358-5252
NPI assigned
Aug 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC011655 GA Primary

Addresses

Primary practice location

139 Henry Pkwy
McDonough, GA 30253-6636

Mailing address

1770 Neighborhood Walk
McDonough, GA 30252-8644
Phone (678) 481-8776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318002449 GA Practitioner - Mental Health Counselor 9537681614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McIntosh Trail Community Service Board CurrentSince Mar 17, 2025 Accepting new patients
McIntosh Trail Community Service Board CurrentSince Mar 17, 2025 Accepting new patients
McIntosh Trail Community Service Board Past Accepting new patients

Locations

1435 N Expressway
Ste 301
Griffin, GA 30223
Phone (678) 516-5179

1209 Greenbelt Dr
Griffin, GA 30224
Phone (770) 358-8258

139 Henry Pkwy
McDonough, GA 30253
Phone (770) 898-7400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1942813696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 NEIGHBORHOOD WALK",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528644",
            "telephone_number": "678-481-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HENRY PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536636",
            "telephone_number": "770-358-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORREAO",
        "first_name": "LUIZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.