Active NPI
Keith London
- Professional Counselor
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC003645
- Practice address
- 5526 Old National Hwy
Atlanta, GA 30349-3212 - Phone
- (404) 543-4497
- NPI assigned
- Jul 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC003645 | GA | Primary |
Addresses
Primary practice location
5526 Old National Hwy
Atlanta, GA 30349-3212
Mailing address
1616 Village Place Cir NE
Conyers, GA 30012-7108
Phone (404) 543-4497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC003645 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesepp Community, Inc | Current | Accepting new patients | |
| US Televero Health PA | Current | Accepting new patients | |
| Mesepp Community, Inc | Current | Accepting new patients | |
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
1226 Royal Dr SW
Ste K
Conyers, GA 30094
Phone (404) 543-4497
1640 Powers Ferry Rd SE
Bldg 11
Marietta, GA 30067
Phone (770) 904-9114
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Austin, TX
- NPI 1992318992
GA
-
- Mental Health Counselor
- Conyers, GA
- NPI 1205706678
-
dba MESEPP Community Behavioral Health and Recovery Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monticello, GA
- NPI 1235793241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500595200000",
"number": "1487177358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 VILLAGE PLACE CIR NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300127108",
"telephone_number": "404-543-4497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5526 OLD NATIONAL HWY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303493212",
"telephone_number": "404-543-4497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDON",
"first_name": "KEITH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-21",
"last_updated": "2017-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC003645",
"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 Jul 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.