Organization Active NPI

Infinite Possibilities Counseling Service

  • Community/Behavioral Health Agency
  • Buford, GA
National Provider Identifier
1083944391
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSW003041 Issued in GA
Legal business name
INFINITE POSSIBILITIES COUNSELING SERVICE
Practice address
924 Gainesville Hwy Ste 210
Buford, GA 30518-1639
Phone
(770) 309-3137
Fax
(770) 831-3615
NPI assigned
Jan 8, 2010
Last updated
Jan 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Mrs. Christy Mellinger, LCSW
Title
Owner, President
Phone
(770) 309-3137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSW003041 GA Primary

Addresses

Primary practice location

924 Gainesville Hwy Ste 210
Buford, GA 30518-1639

Mailing address

924 Gainesville Hwy Ste 210
Buford, GA 30518-1639
Phone (770) 309-3137

National Provider Directory

National Provider Directory

Locations

924 Gainesville Hwy
Ste 210
Buford, GA 30518
Phone (770) 309-3137

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1083944391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 GAINESVILLE HWY STE 210",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181639",
            "telephone_number": "770-309-3137",
            "fax_number": "770-831-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 GAINESVILLE HWY STE 210",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181639",
            "telephone_number": "770-309-3137",
            "fax_number": "770-831-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE POSSIBILITIES COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "MELLINGER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "770-309-3137",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW003041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.