CCS Psychotherapy

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC003888 Issued in GA

Legal business name

CCS PSYCHOTHERAPY

Practice address

3121 Centerville Rosebud Rd
Snellville, GA 30039-5316

Phone

(888) 475-7174

Fax

(888) 210-8891

NPI assigned

Jun 11, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Galen E Cole, PHDNPI 1174759799

Title

LPC

Phone

(888) 475-7174

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Galen Cole, PHD, LPC, NCC, BCPC

  • Professional Counselor
  • Snellville, GA
  • NPI 1174759799
  NPD (past) Authorized official

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1083841415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 CENTERVILLE ROSEBUD RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395316",
            "telephone_number": "888-475-7174",
            "fax_number": "888-210-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 CENTERVILLE ROSEBUD RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395316",
            "telephone_number": "888-475-7174",
            "fax_number": "888-210-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCS PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "GALEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "888-475-7174",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Brendan Casey, MD/PHD
• Jason R Casey, FNP
• Donna Cash
• Alisa Castilla, M.S., CCC-SLP
• Cavells Inc (CaVELL'S Specialty Boutique)
• Center for Colorectal Care LLC
• Denise Noemy Ceron, D.M.D.
• Denesha Chambers, LPC
• Lauren Anne Chance
• Laurie P. Chandler, C.P.N.P.

• Professional Counselor in Snellville, GA
• Providers in Snellville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.