Sandra Renee Kootsikas, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC002570 Issued in GA

Practice address

1105 W Peachtree St NW
Atlanta, GA 30309-3608

Phone

(678) 472-1820

NPI assigned

Jun 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013110501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 WOODLAND AVE NE",
            "address_2": "UNIT 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244542",
            "telephone_number": "678-472-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093608",
            "telephone_number": "678-472-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOTSIKAS",
        "first_name": "SANDRA",
        "middle_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC002570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION TAXONOMY COD",
            "identifier": "251S0000X",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gagandeep Kooner, MD
• Gretchen L Koontz, MD
• Robert Koontz, PH.D
• Alan R Koornick, MD
• Mohammad Kooshkabadi, MD
• April Kooy, PA-C
• Mark E Kopel, PA
• Koph Care Inhome Care Services
• Kopp Healthcare Services LLC
• Rajah Vikramaditya Koppala, MD

• Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.