Active NPI
Cassandra Conton, LPC
- Professional Counselor
- Conyers, GA
National Provider Identifier
1932344645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004669
- Practice address
- 1803 Over Lake Dr SE
Suite C
Conyers, GA 30013-1789 - Phone
- (770) 679-4043
- Fax
- (770) 679-4915
- NPI assigned
- Dec 9, 2008
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC004669 | GA | Primary |
Addresses
Primary practice location
1803 Over Lake Dr SE
Suite C
Conyers, GA 30013-1789
Mailing address
1803 Over Lake Dr SE
Suite C
Conyers, GA 30013-1789
Phone (770) 679-4043
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202I688017 | Other | GA | MEDICARE- PTAN |
| 159828861A | Medicaid | GA | |
| 202G708017 | Other | GA | MEDICARE-GROUP PTAN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC004669 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Home Healthcare | Current | 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 and National Provider Directory roles.
-
- Home Health Registered Nurse
- Conyers, GA
- NPI 1437621851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1932344645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 OVER LAKE DR SE",
"address_2": "SUITE C",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131789",
"telephone_number": "770-679-4043",
"fax_number": "770-679-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 OVER LAKE DR SE",
"address_2": "SUITE C",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131789",
"telephone_number": "770-679-4043",
"fax_number": "770-679-4915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTON",
"first_name": "CASSANDRA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE- PTAN",
"identifier": "202I688017",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159828861A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-GROUP PTAN",
"identifier": "202G708017",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.