Active NPI
Aneed Kassim, LPC
- Counselor
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC015146
- Practice address
- 1650 County Services Pkwy SW
Marietta, GA 30008-4010 - Phone
- (770) 514-2422
- NPI assigned
- Oct 1, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC015146 | GA | Primary |
Addresses
Primary practice location
1650 County Services Pkwy SW
Marietta, GA 30008-4010
Mailing address
6175 Hyde Park LN
Lithonia, GA 30058-7976
Phone (205) 310-7486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- University of Alabama School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
191 Lamar Haley Pkwy
Canton, GA 30114-8019
Phone (770) 720-3510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC015146 | GA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Rivers Community Service Board | Current | Accepting new patients | |
| Highland Rivers CSB | Current | Accepting new patients |
Locations
191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600
650 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (770) 387-3538
1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507
1650 County Services Pkwy SW
Marietta, GA 30008
Phone (770) 514-2300
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.
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1447256243
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1164585543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1043038870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6175 HYDE PARK LN",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300587976",
"telephone_number": "205-310-7486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COUNTY SERVICES PKWY SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300084010",
"telephone_number": "770-514-2422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSIM",
"first_name": "ANEED",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-01",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC015146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.