Active NPI
Hee Jin Lee
- Marriage & Family Therapist
- Peachtree Corners, GA
National Provider Identifier
1962274373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT002037
- Practice address
- 3000 Langford Rd Ste 300
Peachtree Corners, GA 30071-4772 - Phone
- (470) 588-3645
- NPI assigned
- Oct 30, 2023
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT002037 | GA | Primary |
Addresses
Primary practice location
3000 Langford Rd Ste 300
Peachtree Corners, GA 30071-4772
Mailing address
1607 Prairie LN
Moberly, MO 65270-2425
Phone (909) 827-1470
Other practice location 1
1607 Prairie Ln
Moberly, MO 65270-2425
Phone (909) 827-1470
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 |
|---|---|---|---|
| MFT002037 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1962274373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 PRAIRIE LN",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652702425",
"telephone_number": "909-827-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 LANGFORD RD STE 300",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300714772",
"telephone_number": "470-588-3645"
}
],
"practiceLocations": [
{
"address_1": "1607 Prairie Ln",
"address_purpose": "LOCATION",
"city": "Moberly",
"state": "MO",
"postal_code": "652702425",
"country_code": "US",
"telephone_number": "909-827-1470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "HEE JIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-30",
"last_updated": "2023-10-30",
"certification_date": "2023-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT002037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.