Camille Antoinett Colson, LPC, CRC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

009941 Issued in GA

Practice address

3774 Lavista Rd Ste 100B
Tucker, GA 30084-5618

Phone

(404) 909-4100

NPI assigned

May 27, 2018

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Now: New Opportunities Waiting

  • Professional Counselor
  • Tucker, GA
  • NPI 1003562083
  NPD Authorized official

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

{
    "created_epoch": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1477044311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 GEORGIA HIGHWAY 212 SW STE A-319",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943363",
            "telephone_number": "404-610-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3774 LAVISTA RD STE 100B",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845618",
            "telephone_number": "404-909-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2890 Georgia Highway 212 SW Ste A-319",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300943363",
            "country_code": "US",
            "telephone_number": "404-610-0343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLSON",
        "first_name": "CAMILLE",
        "middle_name": "ANTOINETT",
        "credential": "LPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-27",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "009941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Cole, COTA
• Sangai B Cole, MSW
• Kasey Tarryl Coleman, ALC/ APC
• Nicole Rochelle Coller, LPC
• Sarah Allison Collum, MS
• Community Based Healthcare Services
• Community Birth Group
• Community Care MD
• Compassion Cove Counseling, LLC
• Complete Spine Solutions, PC

• Professional Counselor in Tucker, GA
• Providers in Tucker, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.