Individual provider Active NPI

Emma J Cooke, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1972830776
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005757 Issued in GA
Practice address
50 Lenox Pointe NE Ste a
Atlanta, GA 30324-3170
Phone
(404) 409-5512
Fax
(678) 824-6598
NPI assigned
Nov 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 508616 GA
Professional Counselor 101YP2500X LPC005757 GA Primary

Addresses

Primary practice location

50 Lenox Pointe NE Ste a
Atlanta, GA 30324-3170

Mailing address

50 Lenox Pointe NE Ste a
Atlanta, GA 30324-3170
Phone (404) 409-5512

Other practice location 1

1561 Highway 42 N
McDonough, GA 30253-4721
Phone (404) 409-5512

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

State licenses

LicenseStateTypeSpecialty
508616GAMDAddiction (Substance Use Disorder) Counselor
LPC005757GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Social Services, LLC Multi-Specialty Current Accepting new patients
Safe Space Therapy Addiction (Substance Use Disorder) Current Accepting new patients
Align Therapy Addiction (Substance Use Disorder) Current Accepting new patients

Locations

50 Lenox Pointe NE
Ste A
Atlanta, GA 30324
Phone (404) 409-5512

Organizations & group practices 3

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": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1972830776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LENOX POINTE NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243170",
            "telephone_number": "404-409-5512",
            "fax_number": "678-824-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LENOX POINTE NE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243170",
            "telephone_number": "404-409-5512",
            "fax_number": "678-824-6598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 Highway 42 N",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302534721",
            "country_code": "US",
            "telephone_number": "404-409-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKE",
        "first_name": "EMMA",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "508616",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005757",
            "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 Nov 9, 2018; 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.