Community Counseling, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC004505 Issued in GA

Legal business name

COMMUNITY COUNSELING, INC.

Practice address

3950 Cobb Pkwy NW
Suite 708
Acworth, GA 30101-9532

Phone

(678) 640-1020

NPI assigned

Aug 28, 2007

Last updated

Aug 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marissa B Namirr, LPC

Title

President

Phone

(678) 640-1020

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1063606598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 COBB PKWY NW",
            "address_2": "SUITE 708",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301019532",
            "telephone_number": "678-640-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 COBB PKWY NW",
            "address_2": "SUITE 708",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301019532",
            "telephone_number": "678-640-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "NAMIRR",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-640-1020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLIED FOR MEDICAID NUMB",
            "identifier": "00000000000000000",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Rose Coffin, SLP
• Patricia E Cohen, DC
• Tracie Cole, MSW
• Brianna Coleman, OTR/L
• Community Ancillary Services, Inc. (Eldercare Pharmacy)
• Complete Care Family Medicine Clinic LLC (Hillside family medicine clinic)
• Comprehensive Family and Community Services, Limited
• Concierge Care Givers
• Connected Therapy Solutions of Georgia, LLC
• Rafael Alexandre Contiero, FNP-C

• Professional Counselor in Acworth, GA
• Providers in Acworth, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.