Organization Active NPI

Lisa B Story, LLC

  • Psychologist
  • Marietta, GA
National Provider Identifier
1962025668
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
LISA B STORY, LLC
Practice address
4343 Shallowford Rd Ste E1
Marietta, GA 30062-5056
Phone
(678) 237-1827
Fax
(888) 975-1953
NPI assigned
May 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Lisa B Story, PHD
Title
Clinical Psychologist
Phone
(678) 237-1827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

4343 Shallowford Rd Ste E1
Marietta, GA 30062-5056

Mailing address

3777 Sweat Creek Run
Marietta, GA 30062-1182
Phone (678) 237-1827

Other identifiers 1

IdentifierTypeStateIssuer
12193610OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.lisabstory.com Other

National Provider Directory

National Provider Directory

Locations

4343 Shallowford Rd
Ste 181
Marietta, GA 30062
Phone (678) 237-1827

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1962025668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 SWEAT CREEK RUN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621182",
            "telephone_number": "678-237-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD STE E1",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625056",
            "telephone_number": "678-237-1827",
            "fax_number": "888-975-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA B STORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "STORY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "678-237-1827",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12193610",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.lisabstory.com",
            "affiliation": "N",
            "endpointDescription": "website address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact information",
            "address_1": "4343 Shallowford Rd Ste E1",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300625056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 28, 2020; 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.