Jodi Cofer, MA, LAPC
Individual provider Active NPI Professional Counselor · Dawsonville, GA
NPI 1043701568 · NPPES record last updated May 21, 2018
Key facts
- NPI
- 1043701568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- APC006381 (GA)
- Practice address
- 786 Riverbend Rd
Dawsonville, GA 30534-5530 - Phone
- (706) 216-6356
- NPI assigned
- May 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240806001393 | GA | Practitioner - Mental Health Counselor | 2062959240 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC006381 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current |
Accepting new patients |
| A Ccares | Single Specialty | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | APC006381 | GA | Yes |
Addresses
Primary practice location
786 Riverbend Rd
Dawsonville, GA 30534-5530
Mailing address
309 Cowart Rd
Dawsonville, GA 30534-2723
Phone (678) 205-7577
Other practice location 1
786 Riverbend Rd
Dawsonville, GA 30534-5530
Phone (706) 216-6356
Other providers in Dawsonville, GA
- Tony A. Chester
- Childrens Dentistry of Dawsenville
- Alexander Stuart Christ
- Roman M Cibirka
- Mariya Cissell
- Kelly Lynn Combs
- Commissioner of Roads and Revenue Dawson County
- Comprehensive Internal Medicine at Dawsonville, LLC
- Connell and Kim, O.D. Associates Limited Liability Company
- Cymanthia Keesha Connell
All providers in Dawsonville, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.