NPIMap

Organization Active NPI

Georgia Counseling Inc

  • Community/Behavioral Health Agency
  • Stockbridge, GA
National Provider Identifier
1043677362
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFT001305 Issued in GA
Legal business name
GEORGIA COUNSELING INC
Practice address
245 Country Club Dr BLDG 100a
Stockbridge, GA 30281
Phone
(470) 878-1359
Fax
(678) 272-8702
NPI assigned
Jan 17, 2016
Last updated
Dec 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Mrs. Tamika L. Summers, MS LMFTNPI 1972930105
Title
Owner/Ceo
Phone
(470) 878-1359

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
Community/Behavioral Health Agency 251S00000X MFT001305 GA Primary

Addresses

Primary practice location

245 Country Club Dr BLDG 100a
Stockbridge, GA 30281

Mailing address

PO Box 1311
McDonough, GA 30253
Phone (470) 878-1359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220003435 GA Part B Supplier - Clinic/Group Practice 1456701135 Receives reassigned benefits from 1 practitioner
Practice locations: Stockbridge, GA

National Provider Directory

National Provider Directory

Locations

245 Country Club Dr
Bldg 100A
Stockbridge, GA 30281
Phone (404) 702-5771

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1452988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1043677362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1311",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "470-878-1359",
            "fax_number": "678-272-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 COUNTRY CLUB DR BLDG 100A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "470-878-1359",
            "fax_number": "678-272-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-17",
        "last_updated": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "470-878-1359",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "MFT001305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.