North Georgia Counseling Center, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW 001239 Issued in GA

Legal business name

NORTH GEORGIA COUNSELING CENTER, INC.

Practice address

166 Commerce Pkwy Unit C
Cornelia, GA 30531-5473

Phone

(706) 778-0954

Fax

(833) 226-0131

NPI assigned

Aug 28, 2006

Last updated

Aug 23, 2022By 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

Ms. Kristyn Streever Snedden, MSW, LCSW, ACSWNPI 1154338903

Title

Owner/Sole Provider

Phone

(706) 839-1008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristyn Streever Snedden, LCSW

  • Clinical Social Worker
  • Cornelia, GA
  • NPI 1154338903
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1083722250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 COMMERCE PKWY UNIT C",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315473",
            "telephone_number": "706-778-0954",
            "fax_number": "833-226-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 COMMERCE PKWY UNIT C",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315473",
            "telephone_number": "706-778-0954",
            "fax_number": "833-226-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "SNEDDEN",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_middle_name": "STREEVER",
        "authorized_official_title_or_position": "OWNER/SOLE PROVIDER",
        "authorized_official_telephone_number": "706-839-1008",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW 001239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Cornelia, GA
• Providers in Cornelia, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.

Verify at the official NPI Registry.