Organization Active NPI

Classic City Counseling & Consultation LLC

  • Clinical Psychologist
  • Athens, GA
National Provider Identifier
1154971679
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLASSIC CITY COUNSELING & CONSULTATION LLC
Practice address
149 Oneta St Unit 6C
Athens, GA 30601-1873
Phone
(706) 207-1201
Fax
(770) 995-1959
NPI assigned
Sep 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Angela Hahn, PSYDNPI 1093264319
Title
Woner
Phone
(706) 207-1201

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

149 Oneta St Unit 6C
Athens, GA 30601-1873

Mailing address

145 Rollingwood Dr
Athens, GA 30605-3327
Phone (706) 207-1201

Other practice location 1

1055 Prince Ave Apt 6
Athens, GA 30606-5804
Phone (706) 207-7201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221006003546 GA Part B Supplier - Clinic/Group Practice 3779969282 Receives reassigned benefits from 1 practitioner
Practice locations: Athens, GA

National Provider Directory

National Provider Directory

Locations

149 Oneta St
Ste 6C6
Athens, GA 30601
Phone (706) 207-1201

Practitioners & affiliated clinicians

Practitioners 1

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": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1154971679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ROLLINGWOOD DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053327",
            "telephone_number": "706-207-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 ONETA ST UNIT 6C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011873",
            "telephone_number": "706-207-1201",
            "fax_number": "770-995-1959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Prince Ave Apt 6",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306065804",
            "country_code": "US",
            "telephone_number": "706-207-7201",
            "fax_number": "770-995-1959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLASSIC CITY COUNSELING & CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "WONER",
        "authorized_official_telephone_number": "706-207-1201",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.