North Fulton Counseling Psychotherapy and Consulting

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NORTH FULTON COUNSELING PSYCHOTHERAPY AND CONSULTING

Practice address

11285 Ekins Road Suite
Suite D-2
Roswell, GA 30076-3007

Phone

(855) 772-8884

Fax

(404) 365-3859

NPI assigned

Jun 2, 2022

Last updated

Jun 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerry Wayne Cox, ED.S.NPI 1205106085

Title

Director/Therapist

Phone

(678) 469-1296

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerry Wayne Cox

  • Professional Counselor
  • Woodstock, GA
  • NPI 1205106085
  NPD Authorized official
• Angela Ann Miles, LPC

  • Professional Counselor
  • Roswell, GA
  • NPI 1780426072
  NPD (past)
• Karen Wunder, MA, LPC

  • Professional Counselor
  • Roswell, GA
  • NPI 1881872901

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1396484812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 CANYON POINT CIR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765109",
            "telephone_number": "678-469-1296",
            "fax_number": "404-365-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 EKINS ROAD SUITE",
            "address_2": "SUITE D-2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763007",
            "telephone_number": "855-772-8884",
            "fax_number": "404-365-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FULTON COUNSELING PSYCHOTHERAPY AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "678-469-1296",
        "authorized_official_credential": "ED.S."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON MEDICARE MENTAL HEALTH PROVIDER",
            "identifier": "1821478264",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON MEDICAID PROVIDER",
            "identifier": "1205106085",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.