Jace Anthony Johns-Cooper, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC015220 Issued in GA

Practice address

700 Old Roswell Lakes Pkwy Ste 300
Roswell, GA 30076-1612

Phone

(678) 210-9907

NPI assigned

Feb 16, 2023

Last updated

Oct 21, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1235837444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLD ROSWELL LAKES PKWY STE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLD ROSWELL LAKES PKWY STE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761612",
            "telephone_number": "678-210-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS-COOPER",
        "first_name": "JACE",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-16",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC015220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JM Cardinal Investments LLC North Fulton Hospital (Concord Drugs Roswell)
• JM Cardinal Investments LLC North Fulton Hospital (Concord Pharmacy)
• Jmanor LLR (JManor Senior Living)
• John P Shallcross, Psy.D., P.C.
• Harry N John, M.D.
• Samerah Johns, LPN
• Brian Douglas Johnson, DMD
• Carol Ann Johnson, AU.D., F-AAA
• Dana Ari McKinnon Johnson, APRN
• Diajah Johnson

• Professional Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.