NPIMap

Organization Active NPI

Forever Changed Counseling, Inc

  • Professional Counselor
  • Cartersville, GA
National Provider Identifier
1003273632
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008460 Issued in GA
Legal business name
FOREVER CHANGED COUNSELING, INC
Practice address
109 Central Ave
Cartersville, GA 30120-3905
Phone
(657) 229-0679
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Mrs. Renee WillisNPI 1407122948
Title
Ceo/Owner
Phone
(657) 229-0679

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC008460 GA Primary

Addresses

Primary practice location

109 Central Ave
Cartersville, GA 30120-3905

Mailing address

30 Wetlands Rd
White, GA 30184-2885
Phone (657) 229-0679

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1003273632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WETLANDS RD",
            "city": "WHITE",
            "state": "GA",
            "postal_code": "301842885",
            "telephone_number": "657-229-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CENTRAL AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203905",
            "telephone_number": "657-229-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER CHANGED COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "657-229-0679",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.