The Launch Pad Atl

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

THE LAUNCH PAD ATL

Practice address

1417 Dutch Valley PL NE
Atlanta, GA 30324-5399

Phone

(404) 939-7712

NPI assigned

Jun 21, 2021

Organization subpart

No

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

Authorized official

Name

Matthias Reynolds, MFTNPI 1407198625

Title

Owner

Phone

(404) 939-7712

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Matthias John Reynolds, LMFT, MAR

  • Marriage & Family Therapist
  • Atlanta, GA
  • NPI 1407198625
  NPD Authorized official

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1003485392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 DUTCH VALLEY PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245399",
            "telephone_number": "404-939-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 DUTCH VALLEY PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245399",
            "telephone_number": "404-939-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAUNCH PAD ATL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "MATTHIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-939-7712",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.