NPIMap

Organization Active NPI

Elevate Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Smyrna, GA
National Provider Identifier
1093327488
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ELEVATE BEHAVIORAL HEALTH
Practice address
304 Cumberland Way SE
Smyrna, GA 30080-7766
Phone
(470) 629-3397
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Jasmin CopelandNPI 1003674862
Title
Owner
Phone
(470) 629-3397

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

304 Cumberland Way SE
Smyrna, GA 30080-7766

Mailing address

304 Cumberland Way SE
Smyrna, GA 30080-7766
Phone (470) 629-3397

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jasmin@elevatebehavioral.com

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": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1093327488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CUMBERLAND WAY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807766",
            "telephone_number": "470-629-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CUMBERLAND WAY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807766",
            "telephone_number": "470-629-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-629-3397"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jasmin@elevatebehavioral.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "304 Cumberland Way SE",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300807766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.