Active NPI
Linda P Cobaugh, MMT, MT-BC
- Music Therapist
- Johns Creek, GA
National Provider Identifier
1700203353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- MUT000002
- Practice address
- 11135 Brookhavenclub Dr
Johns Creek, GA 30097-1764 - Phone
- (724) 454-2953
- NPI assigned
- Mar 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | MUT000002 | GA | Primary |
Addresses
Primary practice location
11135 Brookhavenclub Dr
Johns Creek, GA 30097-1764
Mailing address
11135 Brookhavenclub Dr
Johns Creek, GA 30097-1764
Phone (724) 454-2953
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
| License | State | Type | Specialty |
|---|---|---|---|
| MUT000002 | GA | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395273600000",
"number": "1700203353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11135 BROOKHAVENCLUB DR",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300971764",
"telephone_number": "724-454-2953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11135 BROOKHAVENCLUB DR",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300971764",
"telephone_number": "724-454-2953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBAUGH",
"first_name": "LINDA",
"middle_name": "P",
"credential": "MMT, MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-20",
"last_updated": "2014-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "GA",
"license": "MUT000002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johns Creek, GA
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- CKS Loving Care LLC (Acti-Kare Responsive In-Home Care)
- Kirsten Coffey Clarke, MS, CCC-SLP
- Natalie Lauren Clericuzio, MD
- Shantelle Coe, NP
- Tkeyah Cole
- Shantese Coleman
- Community Care Pathway, LLC
- Complete Womens Healthcare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.