Theresa Masek,LPC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC002436 Issued in GA

Legal business name

THERESA MASEK,LPC

Practice address

415 Dixie St
Carrollton, GA 30117-3921

Phone

(678) 378-3226

Fax

(770) 836-1827

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Theresa MasekNPI 1487690343

Title

LPC

Phone

(678) 378-3226

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Marie Masek, LPC

  • Professional Counselor
  • Carrollton, GA
  • NPI 1487690343
  NPD (past) Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1972791853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 DAVIS RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301168201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173921",
            "telephone_number": "678-378-3226",
            "fax_number": "770-836-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA MASEK,LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "MASEK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "678-378-3226"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC002436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Hudson House, LLC.
• The Judge Group LLC
• The Kroger Co
• The Oaks - Carrollton, LLC
• The Rouse Foundation, Inc
• Thomas H. Lamb, MD, PC
• Demetra L Thomas, LPC
• Felicia G Thomas, M.A.,CCC-A
• Katie Dianne Thomas, DPT
• Maquissa Lashanta Thomas, MS,WHNP

• Community/Behavioral Health Agency in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.