Individual provider Active NPI

Tina A Cason, M.S.

  • Professional Counselor
  • Roswell, GA
National Provider Identifier
1366139701
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC016079 Issued in GA
Practice address
700 Old Roswell Lakes Pkwy Ste 300
Roswell, GA 30076-1612
Phone
(678) 210-9907
Fax
(404) 891-5746
NPI assigned
Apr 18, 2023
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC016079 GA Primary

Addresses

Primary practice location

700 Old Roswell Lakes Pkwy Ste 300
Roswell, GA 30076-1612

Mailing address

700 Old Roswell Lakes Pkwy Ste 300
Roswell, GA 30076-1612
Phone (678) 210-9907

Other identifiers 1

IdentifierTypeStateIssuer
LPC016079OtherGALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2506 Aged Stone Way
Marietta, GA 30066-3016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC016079GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1366139701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLD ROSWELL LAKES PKWY STE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761612",
            "telephone_number": "678-210-9907",
            "fax_number": "404-891-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLD ROSWELL LAKES PKWY STE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761612",
            "telephone_number": "678-210-9907",
            "fax_number": "404-891-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASON",
        "first_name": "TINA",
        "middle_name": "A",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC016079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LPC016079",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.