Organization Active NPI

Inner Coach Counseling

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1023489952
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW005467 Issued in GA
Legal business name
INNER COACH COUNSELING
Practice address
2751 Buford Hwy NE
Ste 700
Atlanta, GA 30324-3207
Phone
(404) 333-2439
NPI assigned
Oct 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Gena Golden, MSW,LCSW,CHT
Title
Therapist
Phone
(404) 333-2439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CSW005467 GA Primary

Addresses

Primary practice location

2751 Buford Hwy NE
Ste 700
Atlanta, GA 30324-3207

Mailing address

2751 Buford Hwy NE
Ste 700
Atlanta, GA 30324-3207
Phone (404) 333-2439

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1023489952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE",
            "address_2": "STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243207",
            "telephone_number": "404-333-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BUFORD HWY NE",
            "address_2": "STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243207",
            "telephone_number": "404-333-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER COACH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "GENA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "404-333-2439",
        "authorized_official_credential": "MSW,LCSW,CHT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.