Active NPI
Unlock Dreams
- Clinical Social Worker
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- UNLOCK DREAMS
- Doing business as
- Unlock Dreams
- Practice address
- 575 Cranberry PL
Roswell, GA 30076-2351 - Phone
- (678) 852-2987
- Fax
- (888) 375-4037
- NPI assigned
- Aug 4, 2023
- Last updated
- Aug 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiquicha Harris, LCSW
- Title
- Director
- Phone
- (678) 852-2987
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Health & Wellness Coach | 171400000X |
Addresses
Primary practice location
575 Cranberry PL
Roswell, GA 30076-2351
Mailing address
1425 Market Blvd Ste 530-145
Roswell, GA 30076-6708
Phone (678) 852-2987
Other names 1
- Unlock Dreams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1843 Peeler Rd
Ste C
Dunwoody, GA 30338
Phone (330) 486-5356
1425 Market Blvd
Ste 530145
Roswell, GA 30076
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.
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1790916609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691107200000",
"number": "1104508431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 MARKET BLVD STE 530-145",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300766708",
"telephone_number": "678-852-2987",
"fax_number": "888-375-4037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 CRANBERRY PL",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762351",
"telephone_number": "678-852-2987",
"fax_number": "888-375-4037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNLOCK DREAMS",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-04",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "TIQUICHA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "678-852-2987",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Unlock Dreams",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Kate Ure Urum
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.