Individual provider Active NPI

Callaway Cole

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1679059919
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC014446 Issued in GA
Practice address
6425 Powers Ferry Rd Ste 300
Atlanta, GA 30339-2908
Phone
(866) 922-2089
NPI assigned
Jul 18, 2018
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC007529 GA
Professional Counselor 101YP2500X LPC014446 GA Primary

Addresses

Primary practice location

6425 Powers Ferry Rd Ste 300
Atlanta, GA 30339-2908

Mailing address

6425 Powers Ferry Rd Ste 300
Atlanta, GA 30339-2908

Other practice location 1

1200 Ashwood Pkwy Ste 400
Atlanta, GA 30338-4749
Phone (770) 336-7444

Other practice location 2

50 Glenlake Pkwy Ste 120
Atlanta, GA 30328-7270
Phone (800) 736-3739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APC007529GAMDProfessional Counselor
LPC014446GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Berman Center CurrentSince Jul 1, 2020 Accepting new patients
The Berman Center CurrentSince Feb 25, 2024 Accepting new patients
The Renfrew Centers, Inc. Past Accepting new patients

Locations

1200 Ashwood Pkwy
Ste 400
Atlanta, GA 30338
Phone (770) 336-7444

6425 Powers Ferry Rd
Ste 300
Sandy Springs, GA 30339
Phone (770) 336-7444

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1679059919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 POWERS FERRY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 POWERS FERRY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392908",
            "telephone_number": "866-922-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Ashwood Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303384749",
            "country_code": "US",
            "telephone_number": "770-336-7444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Glenlake Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303287270",
            "country_code": "US",
            "telephone_number": "800-736-3739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "CALLAWAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC007529",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.