NPIMap

Organization Active NPI

Graceol Counseling Center Inc

  • Mental Health Counselor
  • Conyers, GA
National Provider Identifier
1083124762
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RN229849 Issued in GA
Legal business name
GRACEOL COUNSELING CENTER INC
Practice address
1035 Honey Creek Rd SE
Conyers, GA 30013-2948
Phone
(404) 839-2688
Fax
(770) 922-9498
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Ms. Yemi Joke Sowemimo, FNP-CNPI 1790107381
Title
Ceo
Phone
(404) 839-2688

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X RN229849 GA Primary

Addresses

Primary practice location

1035 Honey Creek Rd SE
Conyers, GA 30013-2948

Mailing address

1035 Honey Creek Rd SE
Conyers, GA 30013-2948
Phone (404) 839-2688

Other identifiers 3

IdentifierTypeStateIssuer
1790107381OtherGANPI
1912016411OtherNPI
1639177066OtherGANPI

National Provider Directory

National Provider Directory

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": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1083124762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 HONEY CREEK RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132948",
            "telephone_number": "404-839-2688",
            "fax_number": "770-922-9498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 HONEY CREEK RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132948",
            "telephone_number": "404-839-2688",
            "fax_number": "770-922-9498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEOL COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SOWEMIMO",
        "authorized_official_first_name": "YEMI",
        "authorized_official_middle_name": "JOKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-839-2688",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "RN229849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790107381",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912016411",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639177066",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.