Active NPI
Capstone Counseling LLC
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1114395563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004487
- Legal business name
- CAPSTONE COUNSELING LLC
- Practice address
- 9 Dunwoody Park
Suite 136
Atlanta, GA 30338-7407 - Phone
- (770) 744-5055
- Fax
- (470) 545-4382
- NPI assigned
- Sep 2, 2015
- 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
- Mrs. Reva Manon Kraus, LCSW
- Title
- Clinical Director
- Phone
- (678) 727-8126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW004487 | GA | Primary |
Addresses
Primary practice location
9 Dunwoody Park
Suite 136
Atlanta, GA 30338-7407
Mailing address
9 Dunwoody Park
Suite 136
Atlanta, GA 30338-7407
Phone (770) 744-5055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003151158B | Medicaid | GA |
Other names 1
- Capstone Center for Counseling DBT and Relational Trauma
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441152000000",
"number": "1114395563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DUNWOODY PARK",
"address_2": "SUITE 136",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303387407",
"telephone_number": "770-744-5055",
"fax_number": "470-545-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 DUNWOODY PARK",
"address_2": "SUITE 136",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303387407",
"telephone_number": "770-744-5055",
"fax_number": "470-545-4382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPSTONE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-02",
"last_updated": "2015-09-02",
"status": "A",
"authorized_official_last_name": "KRAUS",
"authorized_official_first_name": "REVA",
"authorized_official_middle_name": "MANON",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "678-727-8126",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003151158B",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Capstone Center for Counseling DBT and Relational Trauma",
"code": "3",
"type": "Doing Business As"
}
]
}
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 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.