Active NPI
Bridget Zokovitch, LPC
- Mental Health Counselor
- Cumming, GA
National Provider Identifier
1144740531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC006691
- Practice address
- 2450 Atlanta Hwy Ste 802
Cumming, GA 30040-1252 - Phone
- (678) 632-1676
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC006691 | GA | Primary |
Addresses
Primary practice location
2450 Atlanta Hwy Ste 802
Cumming, GA 30040-1252
Mailing address
307 Adair St Apt B3
Decatur, GA 30030-2924
Other practice location 1
307 Adair Street
B-3
Decatur, GA 30030-3022
Phone (678) 632-1676
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006691 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144740531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 ADAIR ST APT B3",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 ATLANTA HWY STE 802",
"city": "CUMMING",
"state": "GA",
"postal_code": "300401252",
"telephone_number": "678-632-1676"
}
],
"practiceLocations": [
{
"address_1": "307 Adair Street",
"address_2": "B-3",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300303022",
"country_code": "US",
"telephone_number": "678-632-1676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZOKOVITCH",
"first_name": "BRIDGET",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC006691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.