NPIMap

Organization Active NPI

Riverstone Counseling Center LLC

  • Community/Behavioral Health Agency
  • Canton, GA
National Provider Identifier
1063850402
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC007159 Issued in GA
Legal business name
RIVERSTONE COUNSELING CENTER LLC
Practice address
132 Riverstone Ter
Suite 102
Canton, GA 30114-1703
Phone
(770) 213-3615
Fax
(678) 880-9813
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Elaine Gail Federico, MA NCC LPC
Title
Owner
Phone
(770) 213-3615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC007159 GA Primary

Addresses

Primary practice location

132 Riverstone Ter
Suite 102
Canton, GA 30114-1703

Mailing address

132 Riverstone Ter
Suite 102
Canton, GA 30114-1703
Phone (770) 213-3615

National Provider Directory

National Provider Directory

Locations

132 Riverstone Ter
Ste 102
Canton, GA 30114
Phone (770) 213-3615

Practitioners & affiliated clinicians

Practitioners 1

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": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1063850402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 RIVERSTONE TER",
            "address_2": "SUITE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301141703",
            "telephone_number": "770-213-3615",
            "fax_number": "678-880-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 RIVERSTONE TER",
            "address_2": "SUITE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301141703",
            "telephone_number": "770-213-3615",
            "fax_number": "678-880-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSTONE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "FEDERICO",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-213-3615",
        "authorized_official_credential": "MA NCC LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC007159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.