Organization Active NPI

Mayer Counseling Services,LLC

  • Mental Health Counselor
  • Hampton, GA
National Provider Identifier
1114367596
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC007040 Issued in GA
Legal business name
MAYER COUNSELING SERVICES,LLC
Practice address
591 Toronto Circle
Hampton, GA 30228
Phone
(404) 453-8255
NPI assigned
Jun 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Keisha Mayer, LPCNPI 1447541149
Title
Mental Health Therapist/Owner
Phone
(404) 453-8255

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPC007040 GA Primary

Addresses

Primary practice location

591 Toronto Circle
Hampton, GA 30228

Mailing address

4343 Shallowford Rd Ste C-1
Marietta, GA 30062-5023
Phone (404) 453-8255

Other identifiers 1

IdentifierTypeStateIssuer
003133682AMedicaidGA

National Provider Directory

National Provider Directory

Locations

4343 Shallowford Rd
Ste C1
Marietta, GA 30062
Phone (404) 453-8255

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": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1114367596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD STE C-1",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625023",
            "telephone_number": "404-453-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 TORONTO CIRCLE",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "30228",
            "telephone_number": "404-453-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYER COUNSELING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST/OWNER",
        "authorized_official_telephone_number": "404-453-8255",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133682A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.