Active NPI
Progressive Consumer Counseling
- Community/Behavioral Health Agency
- College Park, GA
National Provider Identifier
1659524775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PROGRESSIVE CONSUMER COUNSELING
- Practice address
- 6175 Old National Hwy Ste 420
College Park, GA 30349-4470 - Phone
- (404) 209-1209
- NPI assigned
- Nov 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mario Butler
- Title
- Ceo
- Phone
- (404) 209-1209
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1501037234 | GA | |
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
6175 Old National Hwy Ste 420
College Park, GA 30349-4470
Mailing address
6175 Old National Hwy Ste 420
College Park, GA 30349-4470
Phone (404) 209-1209
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 705221638A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2075397 | Progressive Consumer Counseling Services | Certificate of waiver | May 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
6175 Old National Hwy
Ste 420
College Park, GA 30349
Phone (404) 209-1209
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Atlanta, GA
- NPI 1649259714
-
- Psychiatry Physician
- Fairfax, VA
- NPI 1588036750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1659524775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6175 OLD NATIONAL HWY STE 420",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303494470",
"telephone_number": "404-209-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6175 OLD NATIONAL HWY STE 420",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303494470",
"telephone_number": "404-209-1209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSIVE CONSUMER COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-03",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "MARIO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-209-1209",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "1501037234",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "705221638A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Park, GA
- Precious Cargo Transportation
- Premier Primary Care Center, Inc
- Premiere Community Development Center
- Jovan Price-Wood
- Profound Surgical Assistants, LLC
- Psychotherapy Services Management, Inc.
- Qualucare LLC
- Quarters Managing Personal Care Home
- Madinah Ikhlas Ralston, PH.D.
- Bruce Vincent Ramsdell, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.