Active NPI
Paradise for Living Services, Inc.
- Professional Counselor
- Stone Mountain, GA
National Provider Identifier
1063763720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- PARADISE FOR LIVING SERVICES, INC.
- Practice address
- 2165 W Park CT Ste Abc
Stone Mountain, GA 30087-3550 - Phone
- (404) 522-3555
- Fax
- (678) 374-4421
- NPI assigned
- Sep 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie E Sampson, PHD
- Title
- Executive Director
- Phone
- (678) 446-8288
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
2165 W Park CT Ste Abc
Stone Mountain, GA 30087-3550
Mailing address
1145 Pine Lake Dr
Grayson, GA 30017-7926
Phone (678) 446-8288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Edgewood Ave NE
Ste 812
Atlanta, GA 30303
Phone (678) 446-8288
2165 W Park Ct
Ste Abc
Stone Mountain, GA 30087
Phone (678) 446-8288
1836 Rockbridge Rd
Stone Mountain, GA 30087
Phone (678) 446-8288
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Snellville, GA
- NPI 1093106114
-
- Professional Counselor
- Lawrenceville, GA
- NPI 1952800864
-
- Psychiatric/Mental Health Nurse Practitioner
- Atlanta, GA
- NPI 1922453117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777507200000",
"number": "1063763720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 PINE LAKE DR",
"city": "GRAYSON",
"state": "GA",
"postal_code": "300177926",
"telephone_number": "678-446-8288",
"fax_number": "678-374-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 W PARK CT STE ABC",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873550",
"telephone_number": "404-522-3555",
"fax_number": "678-374-4421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE FOR LIVING SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-20",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A",
"authorized_official_last_name": "SAMPSON",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "678-446-8288",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.