Chantay Golson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CHANTAY GOLSON

Practice address

340 Boulevard NE
Suite 611
Atlanta, GA 30312-1273

Phone

(770) 280-7288

Fax

(770) 983-6098

NPI assigned

Feb 12, 2013

Organization subpart

No

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

Authorized official

Name

Chantay Golson, LPC, CAMS

Title

Owner

Phone

(770) 280-7288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Purpose Community Therapeutic Services, LLC Doing business as

Tax ID family

Chantay Golson3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Chantay Golson

  • Professional Counselor
  • Conyers, GA
  • NPI 1700125754
  NPD tax ID
• Purpose Community Therapeutic Services, LLC

  • Professional Counselor
  • Villa Rica, GA
  • NPI 1851632376
  NPD tax ID

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1063751014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 FAIRFIELD RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803804",
            "telephone_number": "770-280-7288",
            "fax_number": "770-983-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BOULEVARD NE",
            "address_2": "SUITE 611",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121273",
            "telephone_number": "770-280-7288",
            "fax_number": "770-983-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANTAY GOLSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "GOLSON",
        "authorized_official_first_name": "CHANTAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-280-7288",
        "authorized_official_credential": "LPC, CAMS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126621A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purpose Community Therapeutic Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keena A Changela, PHARMD, RPH
• Mihir Changela
• Changing Lives 2Gether LLC
• Changing Lives Counseling Services Inc.
• Toni Chanroo, MD,MPH
• Chantilly Homecare
• John Chia-Su Chao, MD
• Rachel Marie Chapais, NP
• Chrishell Chaplin
• Chapman & Friends Healthcare Providers of Georgia

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.