Individual provider Active NPI

Jo Ann Washington Cooper

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1861891400
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC3556 Issued in GA
Practice address
644 Foundry St NW
Atlanta, GA 30314-4002
Phone
(404) 523-5503
NPI assigned
Aug 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC3556 GA Primary

Addresses

Primary practice location

644 Foundry St NW
Atlanta, GA 30314-4002

Mailing address

PO Box 4522
Atlanta, GA 30302-4522
Phone (404) 523-5503

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
I20250307002592 GA Practitioner - Mental Health Counselor 5294256103 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC3556GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services of Atlanta, LLC Professional CurrentSince Dec 5, 2024 Accepting new patients

Locations

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

1215 Hightower Trl
Ste D102
Sandy Springs, GA 30350
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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1861891400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4522",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303024522",
            "telephone_number": "404-523-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 FOUNDRY ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303144002",
            "telephone_number": "404-523-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JO ANN",
        "middle_name": "WASHINGTON",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC3556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.