Active NPI
Now: New Opportunities Waiting
- Professional Counselor
- Tucker, GA
National Provider Identifier
1003562083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- NOW: NEW OPPORTUNITIES WAITING
- Practice address
- 3774 Lavista Rd Ste 100B
Tucker, GA 30084-5618 - Phone
- (404) 909-4100
- NPI assigned
- Feb 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Camille A Colson, LPC, CPCS, CRC
- Title
- Owner
- Phone
- (404) 909-4100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
3774 Lavista Rd Ste 100B
Tucker, GA 30084-5618
Mailing address
2890 Georgia Highway 212 SW Ste a-319
Conyers, GA 30094-3363
Phone (404) 909-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003235684A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
3774 Lavista Rd
Ste 100B
Tucker, GA 30084
Phone (404) 909-4100
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": "1646006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648684800000",
"number": "1003562083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2890 GEORGIA HIGHWAY 212 SW STE A-319",
"city": "CONYERS",
"state": "GA",
"postal_code": "300943363",
"telephone_number": "404-909-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3774 LAVISTA RD STE 100B",
"city": "TUCKER",
"state": "GA",
"postal_code": "300845618",
"telephone_number": "404-909-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOW: NEW OPPORTUNITIES WAITING",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-28",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A",
"authorized_official_last_name": "COLSON",
"authorized_official_first_name": "CAMILLE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-909-4100",
"authorized_official_credential": "LPC, CPCS, CRC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003235684A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.