Active NPI
Sara Rachel Cook, APC, MS
- Mental Health Counselor
- Decatur, GA
National Provider Identifier
1902614118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APC009981
- Practice address
- 1244 Clairmont Rd Ste 102
Decatur, GA 30030-1250 - Phone
- (770) 750-4001
- NPI assigned
- Dec 19, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC009981 | GA | Primary |
Addresses
Primary practice location
1244 Clairmont Rd Ste 102
Decatur, GA 30030-1250
Mailing address
1110 Ballpark LN Apt 1207
Lawrenceville, GA 30043-2183
Phone (706) 764-6998
Other practice location 1
5960 Crooked Creek Rd Ste 140J
Peachtree Corners, GA 30092-6247
Phone (770) 750-4001
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
| License | State | Type | Specialty |
|---|---|---|---|
| APC009981 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kula Wellness Inc | Mental Health | Current | Accepting new patients |
Locations
1244 Clairmont Rd
Ste 102
Decatur, GA 30030
Phone (678) 235-8968
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.
-
dba Kula Wellness Group
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Decatur, GA
- NPI 1902542202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1902614118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 BALLPARK LN APT 1207",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300432183",
"telephone_number": "706-764-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1244 CLAIRMONT RD STE 102",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301250",
"telephone_number": "770-750-4001"
}
],
"practiceLocations": [
{
"address_1": "5960 Crooked Creek Rd Ste 140J",
"address_purpose": "LOCATION",
"city": "Peachtree Corners",
"state": "GA",
"postal_code": "300926247",
"country_code": "US",
"telephone_number": "770-750-4001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "SARA",
"middle_name": "RACHEL",
"credential": "APC, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC009981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.