Individual provider Active NPI

Tyronza Ingram-Cooper, LPC

  • Professional Counselor
  • Lawrenceville, GA
National Provider Identifier
1518331982
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006669 Issued in GA
Practice address
1851 Beckett CT
Lawrenceville, GA 30044-6113
Phone
(770) 841-8927
NPI assigned
Nov 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006669 GA Primary

Addresses

Primary practice location

1851 Beckett CT
Lawrenceville, GA 30044-6113

Mailing address

1250 Scenic Hwy # 1701-237
Lawrenceville, GA 30045-6359
Phone (770) 841-8927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC006669GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1518331982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 SCENIC HWY # 1701-237",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456359",
            "telephone_number": "770-841-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 BECKETT CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446113",
            "telephone_number": "770-841-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM-COOPER",
        "first_name": "TYRONZA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-22",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.