LEWIS PONZO (NPI# 1821621533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821621533 |
| Entity Type | Individual |
| Full Name | LEWIS PONZO |
| Practice Address |
315 W Ponce De Leon Ave Decatur GA 30030-2400 |
| Mailing Address |
4221 Medlock Mill Dr Snellville GA 30039-2720 |
| Practice Telephone | 7706096976 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 01251982 | 05 |
| Street Address |
315 W PONCE DE LEON AVE |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902878853 | Sharman Dyan Colosetti | Social Worker | 315 W Ponce De Leon Ave, Suite 840, Decatur, GA 30030-2400 | 2006-02-05 |
| 1063045748 | Jacqueline Frances Conway | Counselor | 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 | 2020-02-20 |
| 1114429412 | Revere Counseling and Care Management LLC | Social Worker | 315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30030 | 2018-03-02 |
| 1689182263 | Stephanie Lynn Roach | Social Worker | 315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30033 | 2018-01-17 |
| 1659804300 | Authentic Living | Counselor | 315 W Ponce De Leon Ave, Suite 835, Decatur, GA 30030-2400 | 2017-04-10 |
| 1205379773 | Katie Leikam | Social Worker | 315 W Ponce De Leon Ave, Suite 847, Decatur, GA 30030-2400 | 2016-11-30 |
| 1144680562 | Sarra Everett | Counselor | 315 W Ponce De Leon Ave, Suit 440, Decatur, GA 30030-2400 | 2016-02-26 |
| 1821495987 | Byers Psychological Services LLC | Psychologist | 315 W Ponce De Leon Ave, Suite 1051, Decatur, GA 30030-2400 | 2014-12-04 |
| 1205182151 | Rainbow Counseling & Consultation Services LLC | Psychologist | 315 W Ponce De Leon Ave, Decatur Court Ste 552, Decatur, GA 30030-2400 | 2012-07-30 |
| 1932461563 | National Youth Advocate Program | Community/Behavioral Health | 315 W Ponce De Leon Ave, Decatur, GA 30030-2400 | 2012-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244293 | Agape Change Family Counseling & Consultation Services LLC | Counselor | 2128 Willamette Way, Decatur, GA 30032-6036 | 2020-08-04 |
| 1366082356 | Morgan Tudor | Counselor | 433 W Pershing Rd, Decatur, IL 62526-3238 | 2020-01-08 |
| 1083171896 | William Dale Cottrell II | Counselor | 315 W Ponce De Leon Ave Ste 1055, Decatur, GA 30030-2412 | 2019-02-28 |
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1528538048 | Beatrice Irma Richie | Counselor | 117glen Hollow Circle Apartment #4, Decatur, GA 30034-3003 | 2018-11-27 |
| 1912473711 | Kameshia Hawkins | Counselor | 3011 Rainbow Dr Ste B, Decatur, GA 30034-1643 | 2018-10-18 |
| 1467942706 | Marla Singleton | Counselor | 235 E Ponce De Leon Ave Ste 108, Decatur, GA 30030-3412 | 2018-05-11 |
| 1306348321 | Maureen P Nolan | Counselor | 315 W Ponce De Leon Ave Ste 540, Decatur, GA 30030-2448 | 2018-03-06 |
| 1619493806 | Camille Hankins | Counselor | 2545 Lawrenceville Hwy Ste 150, Decatur, GA 30033-3240 | 2017-08-18 |
| 1609390319 | Subrena Ann Glenn | Counselor | 3745 Brookside Pkwy, Decatur, GA 30034-5714 | 2017-08-03 |
| Find all providers in DECATUR | ||||
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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.