ELLEN H BERN (NPI# 1245332287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245332287 |
| Entity Type | Individual |
| Full Name | ELLEN H BERN |
| Credential | LPC |
| Practice Address |
200 Crescent Centre Park Department of Behavioral Health Tucker GA 30084 |
| Mailing Address |
3495 Piedmont Road Ne Nine Piedmont Center Atlanta GA 30305-1736 |
| Practice Telephone | 7704963609 |
| Mailing Telephone | 4043647000 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC001673 | GA | Behavioral Health & Social Service Providers |
| Street Address |
200 CRESCENT CENTRE PARK DEPARTMENT OF BEHAVIORAL HEALTH |
| City | TUCKER |
| State | GA |
| Zip Code | 30084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851409858 | Catherine M Salazar | Obstetrics & Gynecology | 200 Crescent Centre Park, Department of Obstetrics & Gynecology, Tucker, GA 30084 | 2006-08-29 |
| 1134287360 | Meryl P Stein | Podiatrist | 200 Crescent Centre Park, Department of Podiatry, Tucker, GA 30084 | 2006-12-04 |
| 1457440596 | Sharon R Lehman | Pediatrics | 200 Crescent Centre Park, Pediatrics Health Care Team A, Tucker, GA 30084 | 2006-10-12 |
| 1427151885 | Jon H Sudman | Pediatrics | 200 Crescent Centre Park, Pediatrics Health Care Team A, Tucker, GA 30084 | 2006-09-07 |
| 1225130255 | Alice D Mintz | Clinical Nurse Specialist | 200 Crescent Centre Park, Department of Behavioral Health, Tucker, GA 30084 | 2006-09-01 |
| 1629170667 | Robbin R Ryan | Counselor | 200 Crescent Centre Park, Department of Behavioral Health, Tucker, GA 30084 | 2006-09-01 |
| 1336241371 | P Lynn Wiseman | Clinical Nurse Specialist | 200 Crescent Centre Park, Department of Behavioral Health, Tucker, GA 30084 | 2006-09-01 |
| 1578674784 | Donald J Hanchett | Internal Medicine | 200 Crescent Centre Park, Internal Medicine Health Care Team A, Tucker, GA 30084 | 2006-08-31 |
| 1154432367 | Charles E Curry Jr. | Family Medicine | 200 Crescent Centre Park, Internal Medicine Health Care Team A, Tucker, GA 30084 | 2006-08-31 |
| 1891806006 | Malcolm T Simpson | Family Medicine | 200 Crescent Centre Park, Internal Medicine Health Care Team A, Tucker, GA 30084 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428764 | Jessica Ringsmuth | Counselor | 2376 Main St Ste A, Tucker, GA 30084-4492 | 2020-08-23 |
| 1104476878 | Safe Emotions, LLC | Counselor | 2591 Gleneagles Dr, Tucker, GA 30084-3344 | 2019-09-16 |
| 1083017743 | Jerrell Walker | Counselor | 2323 Main St # A3, Tucker, GA 30084-8522 | 2014-10-08 |
| 1801226964 | Osei Harvey | Counselor | 242 Braxton Pl, Tucker, GA 30084-1871 | 2013-11-26 |
| 1619305778 | Neelofar Sajid | Counselor | 3782 Lawrenceville Hwy, Tucker, GA 30084-5507 | 2013-10-28 |
| 1013219930 | Naomi Black | Counselor | 1103 Dupont Ln, Tucker, GA 30084-3724 | 2010-11-29 |
| 1972805927 | Lauren Pierre | Counselor | 3547 Habersham At Northlake, Bldg. F, Tucker, GA 30084-4001 | 2010-11-24 |
| 1902112055 | Mira Iheme | Counselor | 2227 Idlewood Rd Ste 2, Tucker, GA 30084-4827 | 2010-08-27 |
| 1033353461 | Bhavini Solanki-vasan | Counselor | 3547 Habersham At Northlake, Bldg F, Tucker, GA 30084 | 2009-04-29 |
| 1588808620 | Deborah L Pottinger | Counselor | 3548 Habersham At Northlake, Building F, Tucker, GA 30084-4009 | 2009-04-20 |
| Find all providers in TUCKER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.