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JOSE ANTONIO CORDERO ED.M., LAPC
NPI 1720690449
Counselor - Mental Health in Lawrenceville, GA

Active since August 24, 2020PECOS Enrolled
175 GWINNETT DR, LAWRENCEVILLE, GA 30046(678) 209-2394 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jose Antonio Cordero Ed.m., Lapc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE ANTONIO CORDERO ED.M., LAPC (NPI 1720690449) is an individual mental health provider in Lawrenceville, Georgia, licensed in Georgia (APC007562) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720690449
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOSE ANTONIO CORDEROCredential: ED.M., LAPC
Location Address175 GWINNETT DRLawrenceville, GA 30046-8444
Mailing Address215 North Ave Ne Apt 4315Atlanta, GA 30308-2413 · (812) 306-4986
Phone(678) 209-2394
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 24, 2020
NPPES CertifiedAugust 24, 2020
✔ NPI 1720690449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · APC007562
175 GWINNETT DR, Lawrenceville, GA 30046
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Antonio Cordero Ed.m., Lapc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729567524
PECOS Enrollment IDI20260211003271
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jose Cordero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unlimited Performance Corp
25 mi
Clinical
2872 JOHNSON FERRY RD, STE 200
Marietta, GA 30062
  • Reassigned Medicare billing, Georgia enrollment
  • 16 clinicians in this Medicare group
NPI 1235486903 (770) 361-7864

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KATHERINE ANNE STURGIS
Counselor
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
FATIMA FLYNN MS
Counselor
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
HARRIET ADIGWU RN
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
ROSE MARY AGUILAR
Behavior Technician
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
ANGELLA BRAMWELL
Counselor (Mental Health)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-2395
INDIA N HUDSON LPN
Licensed Practical Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
MRS. LATRINA GRAHAM RN
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
MR. JAHID KWAKU ROSS NURSE PRACTITIONER
Nurse Practitioner (Family)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 209-2394

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Cordero's NPI number?

The NPI number for Jose Cordero is 1720690449. It was assigned to this individual provider in the NPPES registry on August 24, 2020.

Where is Jose Cordero located?

Jose Cordero practices at 175 Gwinnett Dr, Lawrenceville, GA 30046. The listed phone number is (678) 209-2394.

What is Jose Cordero's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jose Cordero enrolled in Medicare?

Yes. Jose Cordero is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jose Cordero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Cordero reassigns Medicare benefits to Unlimited Performance Corp (Marietta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Cordero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Cordero accept?

Health plans from Priority Health list Jose Cordero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jose Cordero was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.