Organization Active NPI

GR8-Xpressions Behavioral Health, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, GA
National Provider Identifier
1033682612
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GR8-XPRESSIONS BEHAVIORAL HEALTH, LLC.
Doing business as
Gr8-Xpressions Behavioral Health, LLC.
Practice address
8762 Edenton Way
Jonesboro, GA 30238-4494
Phone
(470) 301-6444
NPI assigned
Jan 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Cassandra Moten
Title
Owner
Phone
(470) 301-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8762 Edenton Way
Jonesboro, GA 30238-4494

Mailing address

8762 Edenton Way
Jonesboro, GA 30238-4494
Phone (470) 301-6444

Other names 1

  • Gr8-Xpressions Behavioral Health, LLC. Doing business as

National Provider Directory

National Provider Directory

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": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1033682612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8762 EDENTON WAY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384494",
            "telephone_number": "470-301-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8762 EDENTON WAY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384494",
            "telephone_number": "470-301-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GR8-XPRESSIONS BEHAVIORAL HEALTH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "MOTEN",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-301-6444"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gr8-Xpressions Behavioral Health, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

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

Verify at the official NPI Registry.