Monica Megan Prestigiacomo, LPC GA 3057

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003057 Issued in GA

Practice address

12285 Broadwell Rd
Alpharetta, GA 30004-4016

Phone

(678) 366-9388

Fax

(678) 366-6156

NPI assigned

Jul 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1952565798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12285 BROADWELL RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044016",
            "telephone_number": "678-366-9388",
            "fax_number": "678-366-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12285 BROADWELL RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044016",
            "telephone_number": "678-366-9388",
            "fax_number": "678-366-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTIGIACOMO",
        "first_name": "MONICA",
        "middle_name": "MEGAN",
        "credential": "LPC GA 3057",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "003057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.