Individual provider Active NPI

Andrea Mamalakis Epting, LPC, MAC

  • Counselor
  • Savannah, GA
National Provider Identifier
1982934238
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC005849 Issued in GA
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

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LPC005849GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.