Azalea Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AZALEA COUNSELING, LLC

Practice address

212 Cherry Laural LN
Savannah, GA 31419-9162

Phone

(912) 483-1136

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Jena Bus, LCSW, LISW-CPNPI 1952019150

Title

Owner

Phone

(912) 483-1136

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jena Bus, LCSW, LISW-CP

  • Clinical Social Worker
  • Savannah, GA
  • NPI 1952019150

  Clinical, GA

  Medicare reassignment NPD Authorized official
• Hannah Kim, LPC

  • Professional Counselor
  • Plymouth Meeting, PA
  • NPI 1194389957
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1093565749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CHERRY LAURAL LN",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199162",
            "telephone_number": "708-415-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CHERRY LAURAL LN",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199162",
            "telephone_number": "912-483-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "BUS",
        "authorized_official_first_name": "JENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-483-1136",
        "authorized_official_credential": "LCSW, LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Avino, M.D.
• Nenad Risto Avramovski, M.D.
• Isabella Axelsson, DPT
• Wylene Michelle Aycock
• Obayode Ayewa, M.D.
• Azalealand Management Inc
• Azalealand Nursing Home, Inc.
• Madiha Aziz, MD
• B Pediatrics, LLC
• Michael John Babcock, MD

• All providers in Savannah, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.