Individual provider Active NPI

Robert Marchant, LPC

  • Professional Counselor
  • Stockbridge, GA
National Provider Identifier
1952316762
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004454 Issued in GA
Practice address
120 MLK Sr Heritage TRL Ste 105
Stockbridge, GA 30281-3411
Phone
(770) 464-6033
Fax
(678) 306-1861
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 LPC004454 GA Primary

Addresses

Primary practice location

120 MLK Sr Heritage TRL Ste 105
Stockbridge, GA 30281-3411

Mailing address

120 MLK Sr Heritage TRL Ste 105
Stockbridge, GA 30281-3411
Phone (770) 464-6033

Other practice location 1

1299 Metropolitan Pkwy SW
Atlanta, GA 30310-4449
Phone (404) 762-4111

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
I20240403003061 GA Practitioner - Mental Health Counselor 6608214150 Practice locations: Stockbridge, GA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 MLK Sr Heritage TRL
Suite 105
Stockbridge, GA 30281-3411
Phone (770) 464-6033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC004454GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marchant CurrentSince Apr 1, 2012 Accepting new patients

Locations

120 Mlk SR Heritage Trl
Ste 105
Stockbridge, GA 30281
Phone (770) 464-6033

Organizations & group practices 1

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1952316762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MLK SR HERITAGE TRL STE 105",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813411",
            "telephone_number": "770-464-6033",
            "fax_number": "678-306-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MLK SR HERITAGE TRL STE 105",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813411",
            "telephone_number": "770-464-6033",
            "fax_number": "678-306-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 Metropolitan Pkwy SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303104449",
            "country_code": "US",
            "telephone_number": "404-762-4111",
            "fax_number": "404-762-4109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHANT",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.