Active NPI
Andrea Mamalakis Epting, LPC, MAC
- Counselor
- Savannah, GA
National Provider Identifier
1982934238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC005849
- Practice address
- 10 Chestley PL
Savannah, GA 31406-4200 - Phone
- (912) 507-8576
- NPI assigned
- Jan 9, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC005849 | GA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC005849 | GA |
Addresses
Primary practice location
10 Chestley PL
Savannah, GA 31406-4200
Mailing address
10 Chestley PL
Savannah, GA 31406-4200
Phone (912) 507-8576
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 |
|---|---|---|---|
| LPC005849 | GA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolve Strategies, Inc. | Current | Accepting new patients | |
| Low Country Counseling | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Savannah, GA
- NPI 1053141507
-
- Professional Counselor
- Savannah, GA
- NPI 1346570694
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1982934238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CHESTLEY PL",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314064200",
"telephone_number": "912-507-8576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CHESTLEY PL",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314064200",
"telephone_number": "912-507-8576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPTING",
"first_name": "ANDREA",
"middle_name": "MAMALAKIS",
"name_prefix": "Mrs.",
"credential": "LPC, MAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-09",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC005849",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "LPC005849",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.