Active NPI
Bryan Jones, LPC
- Mental Health Counselor
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC007307
- Practice address
- 3781 Presidential Pkwy
Suite 140
Atlanta, GA 30340-3702 - Phone
- (404) 838-0788
- NPI assigned
- May 19, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC007307 | GA | Primary |
| Pastoral Counselor | 101YP1600X | LPC007307 | GA | |
| Professional Counselor | 101YP2500X | LPC007307 | GA |
Addresses
Primary practice location
3781 Presidential Pkwy
Suite 140
Atlanta, GA 30340-3702
Mailing address
4000 Brantley Dr
Austell, GA 30106-1559
Phone (404) 838-0788
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003144234A | Medicaid | GA | |
| 003143436A | Medicaid | GA | |
| 003142232A | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC007307 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Joshua Generation Care and Consultant Services. LLC | Mental Health | Current | Accepting new patients |
Locations
3125 Presidential Pkwy
Ste 214
Atlanta, GA 30340
Phone (678) 640-3196
3781 Presidential Pkwy
Ste 140
Atlanta, GA 30340
Phone (404) 838-0788
1226 Royal Dr SW
Ste D
Conyers, GA 30094
Phone (470) 377-3977
1246 Concord Rd SE
Ste 204
Smyrna, GA 30080
Phone (470) 600-2810
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Atlanta, GA
- NPI 1700223328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394841600000",
"number": "1285070102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 BRANTLEY DR",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061559",
"telephone_number": "404-838-0788",
"fax_number": "404-973-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3781 PRESIDENTIAL PKWY",
"address_2": "SUITE 140",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303403702",
"telephone_number": "404-838-0788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BRYAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-19",
"last_updated": "2014-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC007307",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "GA",
"license": "LPC007307",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007307",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003144234A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003143436A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003142232A",
"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 Mar 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.