Individual provider Active NPI

Rebecca Muyres, LPC

  • Professional Counselor
  • Buford, GA
National Provider Identifier
1982730164
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007864 Issued in GA
Practice address
4315 S Lee St Ste 100
Buford, GA 30518-5746
Phone
(770) 727-1482
Fax
(470) 466-0500
NPI assigned
Feb 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC007864 GA Primary

Addresses

Primary practice location

4315 S Lee St Ste 100
Buford, GA 30518-5746

Mailing address

4315 S Lee St Ste 100
Buford, GA 30518-5746
Phone (770) 648-2500

Other identifiers 1

IdentifierTypeStateIssuer
003186839AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca@creative-family-counseling.com

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

LicenseStateTypeSpecialty
LPC007864GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Family Counseling and Coaching, LLC Professional CurrentSince Apr 1, 2022 Accepting new patients

Locations

4330 S Lee St
Ste 600A
Buford, GA 30518
Phone (770) 617-6023

4315 S Lee St
Ste 100
Buford, GA 30518
Phone (770) 648-2500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1982730164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 S LEE ST STE 100",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185746",
            "telephone_number": "770-648-2500",
            "fax_number": "470-466-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 S LEE ST STE 100",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185746",
            "telephone_number": "770-727-1482",
            "fax_number": "470-466-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUYRES",
        "first_name": "REBECCA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003186839A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca@creative-family-counseling.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "4315 S Lee St Ste 100",
            "city": "Buford",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305185746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.