Community Counseling & Resource Center Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COMMUNITY COUNSELING & RESOURCE CENTER INC.

Practice address

2165 Rugby Ave Apt 538
College Park, GA 30337-1035

Phone

(917) 805-4339

NPI assigned

Apr 1, 2008

Last updated

Apr 1, 2008By 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

Mrs. Karen M KoonceNPI 1982937793

Title

Business Owner

Phone

(404) 763-3092

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Koonce, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1982937793
  Authorized official Same address or phone

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1558533307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87467",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303370467",
            "telephone_number": "917-805-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 RUGBY AVE APT 538",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303371035",
            "telephone_number": "917-805-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING & RESOURCE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "KOONCE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "404-763-3092",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Colebrook, RN
• College Park Dialysis, LLC (Fresenius Medical Care College Park)
• College Park Regional Health Center
• Yasmin Collier-Kenney, RN
• Community Behavioral Center LLC (111 dui school)
• Compass Primary Care LLC
• Compassionate in-Home Solutions, LLC
• Compleat Pediatric Therapy
• Connecting Generations Inc.
• Conversations: the Wellness Spot

• Clinical Social Worker in College Park, GA
• Providers in College Park, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.