Individual provider Active NPI

Evelyn Cowan Strozier, LAPC

  • Counselor
  • Fayetteville, GA
National Provider Identifier
1336775626
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
APC007364 Issued in GA
Practice address
715 Bradley Dr
Fayetteville, GA 30214-2030
Phone
(770) 358-5252
NPI assigned
Mar 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X APC007364 GA Primary

Addresses

Primary practice location

715 Bradley Dr
Fayetteville, GA 30214-2030

Mailing address

1415 Trestle Rd
Locust Grove, GA 30248-4209
Phone (678) 492-8345

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240429000211 GA Practitioner - Mental Health Counselor 6406296169 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC007364GAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
McIntosh Trail Community Service Board CurrentSince Mar 13, 2024 Accepting new patients
McIntosh Trail Community Service Board CurrentSince Mar 13, 2024 Accepting new patients
McIntosh Trail Community Service Board Past Accepting new patients
McIntosh Trail Community Service Board PastSince Mar 22, 2020 Accepting new patients

Locations

715 Bradley Dr
Fayetteville, GA 30214
Phone (770) 358-8584

1435 N Expressway
Ste 301
Griffin, GA 30223
Phone (678) 516-5179

1209 Greenbelt Dr
Griffin, GA 30224
Phone (770) 358-8258

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1336775626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 TRESTLE RD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302484209",
            "telephone_number": "678-492-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BRADLEY DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142030",
            "telephone_number": "770-358-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROZIER",
        "first_name": "EVELYN",
        "middle_name": "COWAN",
        "name_prefix": "Mrs.",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "APC007364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.