Anna Koullas, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT002005 Issued in GA

Practice address

4780 Ashford Dunwoody Rd Ste 540195
Atlanta, GA 30338-5564

Phone

(334) 707-9338

NPI assigned

Sep 4, 2023

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 and National Provider Directory roles.

• Anthos Integrative Psychotherapy, LLC

  • Marriage & Family Therapist
  • Atlanta, GA
  • NPI 1124804455
  NPD Authorized official

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1487430724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 ASHFORD DUNWOODY RD STE 540195",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385564",
            "telephone_number": "334-707-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 ASHFORD DUNWOODY RD STE 540195",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385564",
            "telephone_number": "334-707-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOULLAS",
        "first_name": "ANNA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT002005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jo Kottke, MD
• Amitesh Kotwal
• Tiana S Kotz
• David Kotzbauer, MD
• Samuel Dimitri Kouamen Kouatcheu
• Nicholas Koullas, DO
• Emilia Helen Augusta Koumans, MD
• Sarah Henn Koumtouzoua, M.D
• Nicole Kounalakis, MD
• Darin Chris Kourajian, DC

• All providers in Atlanta, GA
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.