Active NPI
Atlanta Counseling & Evaluation Services, LLC
- Clinic/Center
- Roswell, GA
National Provider Identifier
1760539167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 0909
- Legal business name
- ATLANTA COUNSELING & EVALUATION SERVICES, LLC
- Practice address
- 1902 Macy Dr
Roswell, GA 30076-6339 - Phone
- (678) 795-0346
- Fax
- (678) 795-9709
- NPI assigned
- Jan 5, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yousef Shams, MASTERS OF SCIENCE
- Title
- Owner
- Phone
- (678) 795-0346
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 0909 | GA | Primary |
Addresses
Primary practice location
1902 Macy Dr
Roswell, GA 30076-6339
Mailing address
1902 Macy Dr
Roswell, GA 30076-6339
Phone (678) 795-0346
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 513726 | Other | GA | VALUE OPTION |
| 52889675 | Other | GA | BLUE CROSS BLUEE SHIEL HM |
| 102513 | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1902 Macy Dr
Roswell, GA 30076
Phone (678) 205-4322
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.
-
- Marriage & Family Therapist
- Roswell, GA
- NPI 1912096520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760539167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 MACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766339",
"telephone_number": "678-795-0346",
"fax_number": "678-795-9709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 MACY DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766339",
"telephone_number": "678-795-0346",
"fax_number": "678-795-9709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTA COUNSELING & EVALUATION SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHAMS",
"authorized_official_first_name": "YOUSEF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-795-0346",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MASTERS OF SCIENCE"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "GA",
"license": "0909",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTION",
"identifier": "513726",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUEE SHIEL HM",
"identifier": "52889675",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102513",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
- Cherie Atkins, DDS
- Tammara Atkinson, FNP
- Atlanta Arthritis Center, P.C.
- Atlanta Body Care, LLC
- Atlanta Center for Dermatologic Diseases PC
- Atlanta Counseling Solutions, LLC
- Atlanta Healthcare, LLC
- Atlanta North Gynecology, P.C.
- Atlanta Psychiatric Medicine, Inc.
- Atlanta Rehabilitation Physicians, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.