Individual provider Active NPI

Javier Domingo Barranco, MS, APC, NCC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1902369390
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC006138 Issued in GA
Practice address
1200 Ashwood Pkwy Ste 400
Atlanta, GA 30338-4749
Phone
(770) 336-7444
Fax
(770) 504-3722
NPI assigned
Apr 11, 2019
Last updated
Apr 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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 APC006138 GA Primary

Addresses

Primary practice location

1200 Ashwood Pkwy Ste 400
Atlanta, GA 30338-4749

Mailing address

1760 Northside Dr NW Apt 345
Atlanta, GA 30318-2670
Phone (770) 668-3394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
APC006138GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Berman Center 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": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1902369390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 NORTHSIDE DR NW APT 345",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182670",
            "telephone_number": "770-668-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ASHWOOD PKWY STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384749",
            "telephone_number": "770-336-7444",
            "fax_number": "770-504-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRANCO",
        "first_name": "JAVIER",
        "middle_name": "DOMINGO",
        "name_prefix": "Mr.",
        "credential": "MS, APC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC006138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.