Active NPI
Brooke A Comley, LMSW
- Mental Health Counselor
- Canton, GA
National Provider Identifier
1043828783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MSW007530
- Practice address
- 3395 Sixes Rd Ste 2302
Canton, GA 30114-9125 - Phone
- (404) 910-3377
- NPI assigned
- Jul 20, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MSW007530 | GA | Primary |
Addresses
Primary practice location
3395 Sixes Rd Ste 2302
Canton, GA 30114-9125
Mailing address
1102 Tom LN
Marietta, GA 30066-6469
Phone (716) 390-3878
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 |
|---|---|---|---|
| MSW007530 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| With a Child's Heart, LLC. | Mental Health | Current | Accepting new patients |
Locations
3395 Sixes Rd
Ste 2302
Canton, GA 30114
Phone (404) 910-3377
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.
-
- Mental Health Counselor
- Canton, GA
- NPI 1700320983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1043828783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 TOM LN",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300666469",
"telephone_number": "716-390-3878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3395 SIXES RD STE 2302",
"city": "CANTON",
"state": "GA",
"postal_code": "301149125",
"telephone_number": "404-910-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMLEY",
"first_name": "BROOKE",
"middle_name": "A",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "MSW007530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
- Sarah Ann Collett
- Jacqueline Shea Collier, RN, IBCLC
- Sidney Boyd Collier III, PHARM D
- David Richard Collins, M.D.
- Enid Colon, MD
- Compassion Care Connections Corporation (Home Helpers Home Care of Canton, GA)
- Comprehensive Therapy Consultants
- Cassidy Comrie
- Connect the Dots Coordination, Inc.
- Christina Dianne Conti, LAPC, NCC, M.ED
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.