Organization Active NPI

Peacecare Counseling

  • Professional Counselor
  • Roswell, GA
National Provider Identifier
1033899612
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PEACECARE COUNSELING
Practice address
4651 Woodstock Rd
Roswell, GA 30075-1698
Phone
(404) 798-6286
NPI assigned
Jul 19, 2023
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Mrs. Brytani Burch, LPCNPI 1275213860
Title
Ceo
Phone
(404) 798-6286

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4651 Woodstock Rd
Roswell, GA 30075-1698

Mailing address

4651 Woodstock Rd # 208-191
Roswell, GA 30075-1698
Phone (404) 798-6286

Other names 1

  • PEACECARE COUNSELING Former legal business name

National Provider Directory

National Provider Directory

Locations

4651 Woodstock Rd
Roswell, GA 30075
Phone (770) 552-0681

4651 Woodstock Rd
#208191
Roswell, GA 30075
Phone (404) 798-6286

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": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1033899612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 WOODSTOCK RD # 208-191",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751698",
            "telephone_number": "404-798-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 WOODSTOCK RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751698",
            "telephone_number": "404-798-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACECARE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "BRYTANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-798-6286",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEACECARE COUNSELING",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.