Organization Active NPI

Pierian Spring Counseling LLC

  • Professional Counselor
  • Martinez, GA
National Provider Identifier
1013459676
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009282 Issued in GA
Legal business name
PIERIAN SPRING COUNSELING LLC
Practice address
4210 Columbia Rd
Suite 5D
Martinez, GA 30907-0401
Phone
(706) 836-3193
NPI assigned
Nov 14, 2016
Last updated
Nov 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Latasha AbrahamNPI 1023564101
Title
LPC
Phone
(706) 836-3193

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC009282 GA
Mental Health Counselor 101YM0800X LPC009282 GA
Professional Counselor 101YP2500X LPC009282 GA Primary

Addresses

Primary practice location

4210 Columbia Rd
Suite 5D
Martinez, GA 30907-0401

Mailing address

4210 Columbia Rd
Suite 5D
Martinez, GA 30907-0401
Phone (706) 836-3193

National Provider Directory

National Provider Directory

Locations

4210 Columbia Rd
Ste 5D
Martinez, GA 30907
Phone (706) 836-3193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1013459676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 COLUMBIA RD",
            "address_2": "SUITE 5D",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070401",
            "telephone_number": "706-836-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 COLUMBIA RD",
            "address_2": "SUITE 5D",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309070401",
            "telephone_number": "706-836-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERIAN SPRING COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "706-836-3193"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC009282",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009282",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.