Joan Rosen Funk, LCSW, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2669 Issued in GA

Practice address

1640 Powers Ferry Rd
BLDG 17 Ste 100
Marietta, GA 30067-5491

Phone

(770) 426-9929

Fax

(770) 426-8293

NPI assigned

Jul 26, 2005

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

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Rohit Khanna & Associates, LLC

  • Psychiatry Physician
  • Marietta, GA
  • NPI 1780828723
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1083614671",
    "addresses": [
        {
            "country_code": "CC",
            "country_name": "Cocos (Keeling) Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1640 POWERS FERRY RD",
            "address_2": "BLDG 17 STE 100",
            "city": "MARIETTA",
            "state": "GEORGIA",
            "postal_code": "30067",
            "telephone_number": "770-426-9929",
            "fax_number": "770-426-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD",
            "address_2": "BLDG 17 STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "770-426-9929",
            "fax_number": "770-426-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "JOAN",
        "middle_name": "ROSEN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "2669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katria Fuller, LMT
• Andrew Fulton
• James A. Funderburk, M.A., LPC, NCC
• N. Roel Fung-a-Wing, P.T.
• Elisheva Ende Funk, LCSW
• Whitney Gail Fuqua, DC
• G
• G Singelton Gaston MD
• Ga CVS Pharmacy LLC
• Ga Doctors of Optometry LLC

• Mental Health Counselor in Marietta, GA
• Providers in Marietta, 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 Jul 26, 2011; 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.