Active NPI
Stephen Cumbest, LPC
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1346993565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC014088
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC008059 | GA | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.