Organization Active NPI

Journeys Counseling Center, LLC

  • Professional Counselor
  • Villa Rica, GA
National Provider Identifier
1003259334
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004424,LPC004531 Issued in GA
Legal business name
JOURNEYS COUNSELING CENTER, LLC
Practice address
200 S Carroll Rd
Villa Rica, GA 30180-2606
Phone
(404) 452-3789
NPI assigned
Apr 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Robert David Russell, LPC
Title
Counselor
Phone
(404) 452-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC004424,LPC004531 GA Primary

Addresses

Primary practice location

200 S Carroll Rd
Villa Rica, GA 30180-2606

Mailing address

200 S Carroll Rd
Villa Rica, GA 30180-2606
Phone (404) 452-3789

National Provider Directory

National Provider Directory

Locations

200 S Carroll Rd
Villa Rica, GA 30180
Phone (404) 452-3789

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1003259334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S CARROLL RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802606",
            "telephone_number": "404-452-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CARROLL RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802606",
            "telephone_number": "404-452-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEYS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "404-452-3789",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004424,LPC004531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.