Comprehensive Care Associates, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

005558 Issued in GA

Legal business name

COMPREHENSIVE CARE ASSOCIATES, LLC

Practice address

6916 McGinnis Ferry Rd
Suite 100
Suwanee, GA 30024-1258

Phone

(404) 358-2030

NPI assigned

Sep 19, 2016

Last updated

Sep 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Glaeser

Title

President

Phone

(404) 358-2030

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1538617675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6916 MCGINNIS FERRY RD",
            "address_2": "SUITE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241258",
            "telephone_number": "404-358-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 MCGINNIS FERRY RD",
            "address_2": "SUITE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241258",
            "telephone_number": "404-358-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "GLAESER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-358-2030"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "005558",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "001464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.