Active NPI
Coral K Trinidad, LPC
- Professional Counselor
- Snellville, GA
National Provider Identifier
1992169676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007357
- Practice address
- 2140 McGee Rd
Snellville, GA 30078-2980 - Phone
- (470) 336-8598
- Fax
- (678) 559-0717
- NPI assigned
- Apr 8, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC007357 | GA | Primary |
Addresses
Primary practice location
2140 McGee Rd
Snellville, GA 30078-2980
Mailing address
2140 McGee Rd
Snellville, GA 30078-2980
Phone (470) 336-8598
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 |
|---|---|---|---|
| LPC007357 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Ministries LLC | Current | Accepting new patients |
Locations
4562 Lawrenceville Hwy NW
Ste 101B
Lilburn, GA 30047
Phone (678) 630-7564
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.
-
- Community/Behavioral Health Agency
- Lilburn, GA
- NPI 1922481191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460073600000",
"number": "1992169676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 MCGEE RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782980",
"telephone_number": "470-336-8598",
"fax_number": "678-559-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 MCGEE RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782980",
"telephone_number": "470-336-8598",
"fax_number": "678-559-0717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINIDAD",
"first_name": "CORAL",
"middle_name": "K",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-08",
"last_updated": "2016-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.