Gregory Daquan Cousar-Roper I, JUNIOR COUNSELOR,CAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

T0086 Issued in GA

Practice address

6482 Klinect CT
B
Norcross, GA 30092-7111

Phone

(678) 558-7078

NPI assigned

Apr 20, 2016

Last updated

Apr 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1740634351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6482 KLINECT CT",
            "address_2": "B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300927111",
            "telephone_number": "678-558-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6482 KLINECT CT",
            "address_2": "B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300927111",
            "telephone_number": "678-558-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSAR-ROPER",
        "first_name": "GREGORY",
        "middle_name": "DAQUAN",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "JUNIOR COUNSELOR,CAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "EN799987",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "T0086",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "153504907886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Corby, RD, LD
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• Cosmo Health Care
• Cota Medical Management (Clinica de la Mama)
• Counseling Institute of Atlanta
• Lori McCall Cowart, R.PH. , CGP
• Kelle Nikole Cox, DDS
• Stephanie Lagoldia Cox, CNM
• Tamisha Cox
• Darby Jeter Coxhead, PHARMD

• Addiction (Substance Use Disorder) Counselor in Norcross, GA
• Providers in Norcross, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.