Active NPI
Jeffrey Allen Engberg, LMFT
- Marriage & Family Therapist
- Atlanta, GA
National Provider Identifier
1962655969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTOOO875
- Practice address
- 1820 The Exchange SE
Suite 650
Atlanta, GA 30339-2065 - Phone
- (770) 541-1114
- Fax
- (770) 541-1116
- NPI assigned
- Nov 4, 2008
- Sex
- Male
- Sole proprietor
- No
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 | MFTOOO875 | GA | Primary |
Addresses
Primary practice location
1820 The Exchange SE
Suite 650
Atlanta, GA 30339-2065
Mailing address
1820 The Exchange SE
Suite 650
Atlanta, GA 30339-2065
Phone (770) 541-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 20, 2024 through Feb 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFTOOO875 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225756800000",
"number": "1962655969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 THE EXCHANGE SE",
"address_2": "SUITE 650",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392065",
"telephone_number": "770-541-1114",
"fax_number": "770-541-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 THE EXCHANGE SE",
"address_2": "SUITE 650",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392065",
"telephone_number": "770-541-1114",
"fax_number": "770-541-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGBERG",
"first_name": "JEFFREY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-04",
"last_updated": "2008-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFTOOO875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.