Keri Leigh Cortolano

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC009227 Issued in GA

Practice address

1414 Dug Gap Rd
Dalton, GA 30720-5007

Phone

(706) 379-0405

NPI assigned

Mar 28, 2019

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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aloft Healing Studios, LLC

  • Clinical Social Worker
  • Kennesaw, GA
  • NPI 1053028357

  Mental Health

  Medicare reassignment NPD
• Family and Children First LLC

  • Community/Behavioral Health Agency
  • Dalton, GA
  • NPI 1770627515
  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1063973436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 COOL SPRINGS DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445068",
            "telephone_number": "770-990-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 DUG GAP RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205007",
            "telephone_number": "706-379-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTOLANO",
        "first_name": "KERI",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollie Nicole Cope, LMT, CNMT
• Coram Deo Holdings
• Kelly Coran
• Cornerstone Caregiving East LLC
• Cornerstone Medical Group
• Joni Lynne Coulter
• Bethany Kate Cowart, DPT
• Christie Faye Cox, DNP, CRNA
• Stephanie Lauren Craft
• Evan Sunshine Crawford Lee, RN

• Mental Health Counselor in Dalton, GA
• Providers in Dalton, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.

Verify at the official NPI Registry.