JOSE ANTONIO CORDERO ED.M., LAPC
NPI 1720690449
Counselor - Mental Health in Lawrenceville, GA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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).
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.
LAWRENCEVILLE, GA 30046
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.
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 5 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.
# Jose Antonio Cordero, ED.M., LAPC · NPI 1720690449
Mental Health provider in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since August 24, 2020.
## Identity
- **NPI:** 1720690449 (Entity type: Individual)
- **Enumerated:** August 24, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** APC007562 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 175 GWINNETT DR, Lawrenceville, GA 30046-8444
- **Phone:** (678) 209-2394
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1720690449) · Data from the CMS NPPES public registry.