Individual provider Active NPI

Jacques Khorozian, PH.D. NBCC, CADC, SA

  • Addiction (Substance Use Disorder) Counselor
  • Atlanta, GA
National Provider Identifier
1801429576
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0953 Issued in GA
Practice address
1755 The Exchange SE Ste 375
Atlanta, GA 30339-7405
Phone
(404) 594-1770
NPI assigned
Feb 20, 2020
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0953 GA Primary

Addresses

Primary practice location

1755 The Exchange SE Ste 375
Atlanta, GA 30339-7405

Mailing address

1755 The Exchange SE Ste 375
Atlanta, GA 30339-7405
Phone (404) 594-1770

Other practice location 1

534 Medlock Rd Ste 201
Decatur, GA 30030-1514
Phone (404) 594-1770

Other practice location 2

236 Forsyth St SW # 202A
Atlanta, GA 30303-3786
Phone (404) 594-1770

Other identifiers 1

IdentifierTypeStateIssuer
1770947871OtherGAPRACTICE ORGANIZATION'S NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@aacsatlanta.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0953GAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Life Treatment Inc. Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1801429576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 THE EXCHANGE SE STE 375",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397405",
            "telephone_number": "404-594-1770",
            "fax_number": "770-648-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 THE EXCHANGE SE STE 375",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397405",
            "telephone_number": "404-594-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "534 Medlock Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301514",
            "country_code": "US",
            "telephone_number": "404-594-1770",
            "fax_number": "770-648-5797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 Forsyth St SW # 202A",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303033786",
            "country_code": "US",
            "telephone_number": "404-594-1770",
            "fax_number": "770-648-5797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOROZIAN",
        "first_name": "JACQUES",
        "name_prefix": "Dr.",
        "credential": "PH.D. NBCC, CADC, SA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "0953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTICE ORGANIZATION'S  NPI",
            "identifier": "1770947871",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@aacsatlanta.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1755 The Exchange SE Ste 375",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303397405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.