Organization Active NPI

Yolo Therapy LLC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1134857337
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
YOLO THERAPY LLC
Practice address
2997 Cobb Pkwy SE Unit 724324
Atlanta, GA 31139-2652
Phone
(404) 530-9790
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Dr. Kamaria Taylor-McCuneNPI 1952876583
Title
Owner
Phone
(404) 530-9790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X

Addresses

Primary practice location

2997 Cobb Pkwy SE Unit 724324
Atlanta, GA 31139-2652

Mailing address

PO Box 682
Bowie, MD 20718-0682

Other practice location 1

1629 K St NW Ste 300
Washington, DC 20006-1631
Phone (404) 530-9790

Other practice location 2

5831 Forward Ave # 1308
Pittsburgh, PA 15217-2301
Phone (404) 530-9790

Other practice location 3

7244 Castor Ave
Philadelphia, PA 19149-1109
Phone (404) 530-9790

Other practice location 4

2115 Apple Orchard Way
Austell, GA 30168-4269
Phone (404) 530-9790

Other practice location 5

1800 S Dairy Ashford Rd Ste 650
Houston, TX 77077-4702
Phone (404) 530-9790

Other identifiers 2

IdentifierTypeStateIssuer
090493455MedicaidDC
003288944AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drk@simplepractice.com

National Provider Directory

National Provider Directory

Locations

2997 Cobb Pkwy SE
Unit 724324
Atlanta, GA 31139
Phone (404) 530-9790

6710 Laurel Bowie Rd
Unit 682
Bowie, MD 20718

1800 S Dairy Ashford Rd
Ste 650
Houston, TX 77077
Phone (404) 530-9790

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1134857337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207180682",
            "fax_number": "404-595-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2997 COBB PKWY SE UNIT 724324",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311392652",
            "telephone_number": "404-530-9790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1629 K St NW Ste 300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061631",
            "country_code": "US",
            "telephone_number": "404-530-9790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5831 Forward Ave # 1308",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152172301",
            "country_code": "US",
            "telephone_number": "404-530-9790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7244 Castor Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191491109",
            "country_code": "US",
            "telephone_number": "404-530-9790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Apple Orchard Way",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301684269",
            "country_code": "US",
            "telephone_number": "404-530-9790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 S Dairy Ashford Rd Ste 650",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770774702",
            "country_code": "US",
            "telephone_number": "404-530-9790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOLO THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR-MCCUNE",
        "authorized_official_first_name": "KAMARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-530-9790",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090493455",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003288944A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drk@simplepractice.com",
            "affiliation": "N",
            "address_1": "2115 Apple Orchard Way",
            "city": "Austell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301684269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 29, 2024; 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.