Organization Active NPI

North Fulton Psychotherapy Associates, LTD.

  • Social Worker
  • Alpharetta, GA
National Provider Identifier
1750446134
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW1220 Issued in GA
Legal business name
NORTH FULTON PSYCHOTHERAPY ASSOCIATES, LTD.
Practice address
120 Prospect PL
Alpharetta, GA 30005-5445
Phone
(678) 575-4444
Fax
(770) 442-1919
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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

Authorized official

Name
Christine M Kocks, ACSW, LCSWNPI 1265000764
Title
President
Phone
(678) 575-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X LCSW1220 GA Primary

Addresses

Primary practice location

120 Prospect PL
Alpharetta, GA 30005-5445

Mailing address

120 Prospect PL
Alpharetta, GA 30005-5445
Phone (678) 575-4444

National Provider Directory

National Provider Directory

Locations

120 Prospect Pl
Alpharetta, GA 30005
Phone (470) 222-3378

1001 Cambridge Sq
Ste A
Alpharetta, GA 30009
Phone (770) 667-9559

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624752000000",
    "number": "1750446134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PROSPECT PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055445",
            "telephone_number": "678-575-4444",
            "fax_number": "770-442-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PROSPECT PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055445",
            "telephone_number": "678-575-4444",
            "fax_number": "770-442-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FULTON PSYCHOTHERAPY ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "KOCKS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-575-4444",
        "authorized_official_credential": "ACSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "GA",
            "license": "LCSW1220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 27, 2021; 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.