Active NPI
Ashley Alvarado Cannan, M.A., L.P.C., R.P.T.
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1174615678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005408
- Practice address
- 464 Cherokee Ave SE
Suite 202
Atlanta, GA 30312-3260 - Phone
- (404) 354-7786
- Fax
- (775) 313-0859
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00341800 | NJ | |
| Professional Counselor | 101YP2500X | LPC005408 | GA | Primary |
Addresses
Primary practice location
464 Cherokee Ave SE
Suite 202
Atlanta, GA 30312-3260
Mailing address
889 Commonwealth Ave SE
Atlanta, GA 30312-3663
Phone (404) 354-7786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309121396A | Medicaid | GA |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005408 | GA | MD | Professional Counselor |
| 37PC00341800 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228867200000",
"number": "1174615678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "889 COMMONWEALTH AVE SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123663",
"telephone_number": "404-354-7786",
"fax_number": "775-313-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 CHEROKEE AVE SE",
"address_2": "SUITE 202",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123260",
"telephone_number": "404-354-7786",
"fax_number": "775-313-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNAN",
"first_name": "ASHLEY",
"middle_name": "ALVARADO",
"name_prefix": "Mrs.",
"credential": "M.A., L.P.C., R.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2008-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00341800",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "309121396A",
"state": "GA"
}
],
"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 Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.