Active NPI
Jacques Khorozian, PH.D. NBCC, CADC, SA
- Addiction (Substance Use Disorder) Counselor
- Atlanta, GA
National Provider Identifier
1801429576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0953
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770947871 | Other | GA | PRACTICE ORGANIZATION'S NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0953 | GA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Addiction (Substance Use Disorder) Counselor
- Atlanta, GA
- NPI 1982193215
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.