Individual provider Active NPI

Johnetta L Barnes, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1124308069
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006440 Issued in GA
Practice address
3915 Cascade Rd SW Ste 220
Atlanta, GA 30331-8533
Phone
(404) 963-9511
Fax
(404) 806-9245
NPI assigned
Aug 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006440 GA Primary

Addresses

Primary practice location

3915 Cascade Rd SW Ste 220
Atlanta, GA 30331-8533

Mailing address

PO Box 1012
Hampton, GA 30228-0903
Phone (404) 963-9511

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC006440GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Outlook Counseling LLC Professional CurrentSince Feb 24, 2016 Accepting new patients

Locations

3915 Cascade Rd SW
Ste 230
Atlanta, GA 30331
Phone (404) 963-9511

3915 Cascade Rd SW
Ste 220
Atlanta, GA 30331
Phone (404) 699-0966

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.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1124308069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1012",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302280903",
            "telephone_number": "404-963-9511",
            "fax_number": "404-806-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW STE 220",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318533",
            "telephone_number": "404-963-9511",
            "fax_number": "404-806-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "JOHNETTA",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.