Individual provider Active NPI

Amy B Barker, M.S.

  • Professional Counselor
  • Alpharetta, GA
National Provider Identifier
1710042866
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004570 Issued in GA
Practice address
5755 N Point Pkwy
Suite 256
Alpharetta, GA 30022-1142
Phone
(770) 667-3877
Fax
(770) 667-3879
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC004570 GA Primary

Addresses

Primary practice location

5755 N Point Pkwy
Suite 256
Alpharetta, GA 30022-1142

Mailing address

PO Box 250
Alpharetta, GA 30009-0250
Phone (770) 667-3877

Other identifiers 1

IdentifierTypeStateIssuer
772502157AMedicaidGA

Other names 1

  • Miss Amy B Golkin Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC004570GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roots Wellness Center, LLC Professional Current Accepting new patients
Northside Psychological Services, Inc. Professional Past Accepting new patients
Outpatient Behavioral Health, LLC Professional PastSince Aug 23, 2020 Accepting new patients
Northside Psychological Services, Inc. Past Accepting new patients

Locations

3745 Cherokee St NW
Ste 606
Kennesaw, GA 30144
Phone (678) 656-7373

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1710042866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300090250",
            "telephone_number": "770-667-3877",
            "fax_number": "770-667-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY",
            "address_2": "SUITE 256",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221142",
            "telephone_number": "770-667-3877",
            "fax_number": "770-667-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "AMY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772502157A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GOLKIN",
            "middle_name": "B",
            "prefix": "MISS",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.