NPIMap

Organization Active NPI

McCollum-McCollum & Associates

Doing business as Cornerstone Counseling and Education

  • Community/Behavioral Health Agency
  • Austell, GA
National Provider Identifier
1720306137
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC004750 Issued in GA
Legal business name
MCCOLLUM-MCCOLLUM & ASSOCIATES
Doing business as
Cornerstone Counseling and Education
Practice address
5035 Scuppernong CT
Austell, GA 30106-2658
Phone
(404) 536-7586
Fax
(678) 273-2236
NPI assigned
May 10, 2010
Last updated
May 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Dr. Vivian J McCollum, PHDNPI 1790972412
Title
Ceo/Partner
Phone
(404) 536-7586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC004750 GA Primary

Addresses

Primary practice location

5035 Scuppernong CT
Austell, GA 30106-2658

Mailing address

5035 Scuppernong CT
Austell, GA 30106-2658
Phone (404) 536-7586

Other names 1

  • Cornerstone Counseling and Education Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1720306137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 SCUPPERNONG CT",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301062658",
            "telephone_number": "404-536-7586",
            "fax_number": "678-273-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 SCUPPERNONG CT",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301062658",
            "telephone_number": "404-536-7586",
            "fax_number": "678-273-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOLLUM-MCCOLLUM & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PARTNER",
        "authorized_official_telephone_number": "404-536-7586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC004750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Counseling and Education",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.