NPIMap

Organization Active NPI

Cross Keys Counseling Center, Inc.

  • Clinical Psychologist
  • Forest Park, GA
National Provider Identifier
1043369077
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1569 Issued in GA
Legal business name
CROSS KEYS COUNSELING CENTER, INC.
Practice address
1035 Main St
Forest Park, GA 30297-1441
Phone
(404) 366-3420
Fax
(404) 608-1365
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Doris Woodruff Hewitt, PH.D.NPI 1962568139
Title
Director of Therapy Services
Phone
(404) 366-3420

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 1569 GA Primary

Addresses

Primary practice location

1035 Main St
Forest Park, GA 30297-1441

Mailing address

1035 Main St
Forest Park, GA 30297-1441
Phone (404) 366-3420

National Provider Directory

National Provider Directory

Locations

1035 Main St
Forest Park, GA 30297
Phone (404) 366-3420

7444 Hannover Pkwy S
Ste 200
Stockbridge, GA 30281
Phone (678) 289-1988

Practitioners & affiliated clinicians

Practitioners 5

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043369077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 MAIN ST",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971441",
            "telephone_number": "404-366-3420",
            "fax_number": "404-608-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 MAIN ST",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971441",
            "telephone_number": "404-366-3420",
            "fax_number": "404-608-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS KEYS COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEWITT",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "WOODRUFF",
        "authorized_official_title_or_position": "DIRECTOR OF THERAPY SERVICES",
        "authorized_official_telephone_number": "404-366-3420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.