Individual provider Active NPI

Stephen Cumbest, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1346993565
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC014088 Issued in GA
Practice address
3097 Colonial Way Apt K
Atlanta, GA 30341-5337
Phone
(770) 314-5464
NPI assigned
Jan 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC014088 GA Primary
Mental Health Counselor 101YM0800X APC008059 GA

Addresses

Primary practice location

3097 Colonial Way Apt K
Atlanta, GA 30341-5337

Mailing address

3097 Colonial Way Apt K
Atlanta, GA 30341-5337
Phone (770) 314-5464

Other practice location 1

445 Winn Way
Decatur, GA 30030-1707
Phone (404) 508-7700 ext. 3602

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.dcsb.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC008059GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1346993565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3097 COLONIAL WAY APT K",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415337",
            "telephone_number": "770-314-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3097 COLONIAL WAY APT K",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415337",
            "telephone_number": "770-314-5464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Winn Way",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301707",
            "country_code": "US",
            "telephone_number": "404-508-7700 x3602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMBEST",
        "first_name": "STEPHEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014088",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC008059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.dcsb.org",
            "affiliation": "N",
            "address_1": "445 Winn Way",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300301707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.