NPIMap

Organization Active NPI

Foresight Mental Health Group PLLC

  • Counselor
  • Decatur, GA
National Provider Identifier
1477222040
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
FORESIGHT MENTAL HEALTH GROUP PLLC
Practice address
465 Winn Way Ste 221
Decatur, GA 30030-1723
Phone
(888) 588-8995
Fax
(510) 756-0812
NPI assigned
Sep 8, 2021
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FORESIGHT MENTAL HEALTH GROUP PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Jodie Coffel
Title
Credentialing Specialist
Phone
(707) 328-3658

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Counselor 101Y00000X NU Primary
Clinical Psychologist 103TC0700X NU
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

465 Winn Way Ste 221
Decatur, GA 30030-1723

Mailing address

PO Box 530077
Atlanta, GA 30353-0077

Other practice location 1

3200 Highlands Pkwy SE Ste 400
Smyrna, GA 30082-5192
Phone (888) 588-8995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220318000893 GA Part B Supplier - Clinic/Group Practice 8426442435 Receives reassigned benefits from 6 practitioners
Practice locations: Smyrna, GA; Decatur, GA

National Provider Directory

National Provider Directory
Tax ID family
Foresight Mental Health Group PLLC3 organizations share this tax ID, including this one
Part of
Foresight Mental Health Group PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1477222040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530077",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINN WAY STE 221",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301723",
            "telephone_number": "888-588-8995",
            "fax_number": "510-756-0812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Highlands Pkwy SE Ste 400",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300825192",
            "country_code": "US",
            "telephone_number": "888-588-8995",
            "fax_number": "510-756-0812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORESIGHT MENTAL HEALTH GROUP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORESIGHT MENTAL HEALTH GROUP PLLC",
        "enumeration_date": "2021-09-08",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "COFFEL",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "707-328-3658"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.