Cathy Fleenor, BS,MA,BCCC,BCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

03126310 Issued in GA

Practice address

2550 Hamilton Mill Rd
Suite 100
Buford, GA 30519-3611

Phone

(678) 577-9628

Fax

(678) 802-3684

NPI assigned

Jun 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Master of Arts

State licenses

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1457732018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 HAMILTON MILL RD",
            "address_2": "SUITE 100",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305193611",
            "telephone_number": "678-577-9628",
            "fax_number": "678-802-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 HAMILTON MILL RD",
            "address_2": "SUITE 100",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305193611",
            "telephone_number": "678-577-9628",
            "fax_number": "678-802-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEENOR",
        "first_name": "CATHY",
        "name_prefix": "Mrs.",
        "credential": "BS,MA,BCCC,BCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "03126310",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "GA",
            "license": "04146310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Buford, GA
• Providers in Buford, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.