Active NPI
Ambitious Compassion Wellness Counseling
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1104798438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- AMBITIOUS COMPASSION WELLNESS COUNSELING
- Practice address
- 2001 Martin Luther King Jr Dr SW Ste 210
Atlanta, GA 30310-5800 - Phone
- (404) 839-0218
- Fax
- (470) 878-3156
- NPI assigned
- Sep 17, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Desirea R Russell, MS, CRC, LPC
- Title
- Ceo
- Phone
- (678) 709-8002
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectoryLocations
2001 Martin Luther King Jr Dr SW
Ste 210
Atlanta, GA 30310
Phone (404) 839-0218
Specialties & licenses 6
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Counselor | 225C00000X |
Addresses
NPPES NPI RegistryPrimary practice location
2001 Martin Luther King Jr Dr SW Ste 210
Atlanta, GA 30310-5800
Mailing address
2290 Lake Royale Dr
Riverdale, GA 30296-1896
Phone (404) 839-0218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2025.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758067200000",
"number": "1104798438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 LAKE ROYALE DR",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302961896",
"telephone_number": "404-839-0218",
"fax_number": "470-878-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MARTIN LUTHER KING JR DR SW STE 210",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303105800",
"telephone_number": "404-839-0218",
"fax_number": "470-878-3156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBITIOUS COMPASSION WELLNESS COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "DESIREA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-709-8002",
"authorized_official_credential": "MS, CRC, LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.