Organization Active NPI

Sunrise Therapy, LLC

  • Professional Counselor
  • Canton, GA
National Provider Identifier
1669869863
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SUNRISE THERAPY, LLC
Practice address
604 Talmadge Lane
Canton, GA 30115
Phone
(770) 289-7113
NPI assigned
Apr 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Ms. Allison R Cordts, LPCNPI 1073025102
Title
Mental Health Therapist
Phone
(770) 289-7113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X LPC008069 GA

Addresses

Primary practice location

604 Talmadge Lane
Canton, GA 30115

Mailing address

604 Talmadge Lane
Canton, GA 30115
Phone (770) 289-7113

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260317000604 GA Part B Supplier - Clinic/Group Practice 7911480033 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1429920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1669869863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 TALMADGE LANE",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30115",
            "telephone_number": "770-289-7113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 TALMADGE LANE",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30115",
            "telephone_number": "770-289-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-25",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "CORDTS",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "770-289-7113",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC008069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.