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Nicholas Robert Marzo , LPC, LMHC, CST-S, AC

Counselor β€’ Chamblee, GA

Active NPI 1073023164 Individual Practitioner Male Practitioner
Practice location in NPPES

3720 Chamblee Dunwoody Rd Ste D2
Chamblee, GA 303412064

Call 6788029355 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3720 Chamblee Dunwoody Rd Ste D2

Chamblee, GA 303412064

Telephone 6788029355
Organization at the Same NPPES Address or Phone
Modern Path. Llc Facility NPI 1023533106

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Chamblee and Georgia

5 active clinicians are listed under Counselor with a practice address in Chamblee, GA (1,510 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-08
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES GA LPC004808

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES FL MH7359
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 08, 2026

Registered at 3720 CHAMBLEE DUNWOODY RD STE D2, CHAMBLEE, GA 303412064 (Tel: 6788029355)

πŸ‘€
Provider Name / Credentials Updated July 08, 2026

Recorded as NICHOLAS MARZO, LPC, LMHC, CST-S, AC

βœ…
NPI Profile Active October 03, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 03, 2017

Registered at 5440 LAWRENCEVILLE HWY NW, LILBURN, GA 300475927 (Tel: 6788029355)

πŸ“
Business Mailing Address (Initial Record) October 03, 2017

Registered at 3228 WAKEFIELD ST, LAWRENCEVILLE, GA 300445677 (Tel: 4043139962)

πŸ‘€
Provider Name / Credentials (Initial Record) October 03, 2017

Recorded as NICOLE FUENTES, LPC, LMHC, NCC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Counselor (license number reported to NPPES: FL MH7359)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2017

Counselor (license number reported to NPPES: GA LPC004808)

🟒
Initial NPI Registration & Enumeration October 03, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073023164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2017
Last Update: July 08, 2026
Sole Proprietor: No

Mailing Address

3228 Wakefield St

Lawrenceville, GA 300445677

Phone: 4043139962

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.