Individual provider Active NPI

Anthony Karl Foley Sr., LPC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1821316035
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
003311 Issued in GA
Practice address
2824 Barbara LN NE
Marietta, GA 30062
Phone
(678) 643-9806
Fax
(770) 322-1565
NPI assigned
May 12, 2010
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-28638
Professional Counselor 101YP2500X 003311 GA Primary

Addresses

Primary practice location

2824 Barbara LN NE
Marietta, GA 30062

Mailing address

2824 Barbara LN NE
Marietta, GA 30062-1431
Phone (678) 643-9806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250408002127 GA Practitioner - Mental Health Counselor 4183148463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Services of Atlanta LLCGroup PAC ID 8820438716, 15 clinicians

Practice addresses (Care Compare)

376 Powder Springs St
Suite 240a
Marietta, GA 30064-3499
Phone (678) 444-4505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003311GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services of Atlanta, LLC Professional CurrentSince Dec 4, 2024 Accepting new patients

Locations

376 Powder Springs St
Ste 240A
Marietta, GA 30064
Phone (678) 404-4505

4006 Holcomb Bridge Rd
Ste 210
Peachtree Corners, GA 30092
Phone (678) 444-4505

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": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1821316035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 BARBARA LN NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300621431",
            "telephone_number": "678-643-9806",
            "fax_number": "770-322-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 BARBARA LN NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "678-643-9806",
            "fax_number": "770-322-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLEY",
        "first_name": "ANTHONY",
        "middle_name": "KARL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-28638",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "003311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.