Organization Active NPI

Cope Behavior Health, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Atlanta, GA
National Provider Identifier
1245665157
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
COPE BEHAVIOR HEALTH, LLC
Practice address
2302 Parklake Dr NE Ste 370
Atlanta, GA 30345-2907
Phone
(470) 687-0700
Fax
(678) 275-8160
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Mr. Mario Johnson
Title
Owner
Phone
(470) 687-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X LA Primary

Addresses

Primary practice location

2302 Parklake Dr NE Ste 370
Atlanta, GA 30345-2907

Mailing address

2302 Parklake Dr NE Ste 370
Atlanta, GA 30345-2907
Phone (470) 687-0700

Other identifiers 1

IdentifierTypeStateIssuer
0000000MedicaidLA

National Provider Directory

National Provider Directory

Locations

2302 Parklake Dr NE
Ste 370
Atlanta, GA 30345
Phone (470) 687-0700

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1245665157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DR NE STE 370",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452907",
            "telephone_number": "470-687-0700",
            "fax_number": "678-275-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DR NE STE 370",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452907",
            "telephone_number": "470-687-0700",
            "fax_number": "678-275-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPE BEHAVIOR HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-687-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000",
            "state": "LA"
        }
    ],
    "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 Feb 14, 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.