Organization Active NPI

Matrix Evaluation and Counseling Services LLC

  • Case Management Agency
  • Norcross, GA
National Provider Identifier
1083884332
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MATRIX EVALUATION AND COUNSELING SERVICES LLC
Practice address
3100 River Exchange Dr
828
Norcross, GA 30092-4224
Phone
(770) 364-1074
Fax
(770) 209-4188
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Ms. Patricia Harris, CACII, CAMS, MBA
Title
Ceo
Phone
(770) 364-1074

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3100 River Exchange Dr
828
Norcross, GA 30092-4224

Mailing address

3100 River Exchange Dr
828
Norcross, GA 30092-4224
Phone (770) 364-1074

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1083884332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 RIVER EXCHANGE DR",
            "address_2": "828",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924224",
            "telephone_number": "770-364-1074",
            "fax_number": "770-209-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RIVER EXCHANGE DR",
            "address_2": "828",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924224",
            "telephone_number": "770-364-1074",
            "fax_number": "770-209-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX EVALUATION AND COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-364-1074",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CACII, CAMS, MBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.