Justin Boccuti, MS NCC LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007973 Issued in GA

Practice address

958 Joe Frank Harris Pkwy SE Ste 103
Cartersville, GA 30120-2158

Phone

(770) 812-3610

NPI assigned

Apr 11, 2012

Last updated

Dec 10, 2014By the provider in NPPES

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Westwind Counseling Services LLC

  • Counselor
  • Newnan, GA
  • NPI 1437719382

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1508123845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 WESTWOOD DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301201992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 JOE FRANK HARRIS PKWY SE STE 103",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202158",
            "telephone_number": "770-812-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCUTI",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "MS NCC LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlla Blanton, DMD
• Craig R Blatt, DDS
• Jennifer R Bledsoe, LCSW
• Daniel Jordan Blevins, FNP
• Blue Summit Hospice of North Georgia LLC
• Paul Richard Boecler, D.M.D., M.S.
• Anna Robinson Boling, PT
• Scott Bonk, LMFT
• Jovas C. Booker, D.M.D
• Alexandria Boss

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.