Individual provider Active NPI

Susan Helga McCoy, LCPC, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1366659245
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79352 Issued in TX
Practice address
2920 Randolph Rd NE
Atlanta, GA 30345-3611
Phone
(773) 759-9769
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180007363 IL
Professional Counselor 101YP2500X LPC011999 GA
Professional Counselor 101YP2500X 79352 TX Primary

Addresses

Primary practice location

2920 Randolph Rd NE
Atlanta, GA 30345-3611

Mailing address

2920 Randolph Rd NE
Atlanta, GA 30345-3611
Phone (773) 759-9769

Other practice location 1

2920 Randolph Rd NE
Atlanta, GA 30345-3611
Phone (773) 759-9769

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

LicenseStateTypeSpecialty
LPC011999GAMDProfessional Counselor
180007363ILMDProfessional Counselor
79352TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1366659245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 RANDOLPH RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453611",
            "telephone_number": "773-759-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 RANDOLPH RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453611",
            "telephone_number": "773-759-9769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Randolph Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303453611",
            "country_code": "US",
            "telephone_number": "773-759-9769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "SUSAN",
        "middle_name": "HELGA",
        "name_prefix": "Mrs.",
        "credential": "LCPC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007363",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011999",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79352",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.