Active NPI
Pierian Spring Counseling LLC
- Professional Counselor
- Martinez, GA
National Provider Identifier
1013459676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009282
- 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, 2016
- 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
- Latasha Abraham
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Martinez, GA
- NPI 1023564101
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.