Organization Active NPI

Progressive Consumer Counseling

  • Community/Behavioral Health Agency
  • College Park, GA
National Provider Identifier
1659524775
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jun 11, 2019

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
705221638AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180108003238 GA Part B Supplier - Clinic/Group Practice 8325307838 Receives reassigned benefits from 1 practitioner
Practice locations: College Park, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2075397Progressive Consumer Counseling Services6175 Old National Highway, Suite 420, College Park, GA 30349Certificate of waiverMay 29, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.