Active NPI
Fatema Shabbir Harianawala, LPC
- Professional Counselor
- Tyrone, GA
National Provider Identifier
1962029702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC011305
- Practice address
- 120 Handley Rd Ste 310
Tyrone, GA 30290-2173 - Phone
- (678) 310-4789
- NPI assigned
- Jun 27, 2020
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC011305 | GA | Primary |
Addresses
Primary practice location
120 Handley Rd Ste 310
Tyrone, GA 30290-2173
Mailing address
151 Highway 74 S Unit 3437
Peachtree City, GA 30269-4317
Phone (678) 310-4789
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011305 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593216000000",
"number": "1962029702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 HIGHWAY 74 S UNIT 3437",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694317",
"telephone_number": "678-310-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HANDLEY RD STE 310",
"city": "TYRONE",
"state": "GA",
"postal_code": "302902173",
"telephone_number": "678-310-4789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARIANAWALA",
"first_name": "FATEMA",
"middle_name": "SHABBIR",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-27",
"last_updated": "2020-06-27",
"certification_date": "2020-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.