NPIMap

Organization Active NPI

Angela Ronay Richardson

Doing business as ReConnect Therapeutic Associates, LLC

  • Professional Counselor
  • Smyrna, GA
National Provider Identifier
1114460243
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007446 Issued in GA
Legal business name
ANGELA RONAY RICHARDSON
Doing business as
ReConnect Therapeutic Associates, LLC
Practice address
1264 Concord Rd SE
Suite 106
Smyrna, GA 30080-5302
Phone
(678) 424-8650
Fax
(678) 424-8652
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Angela R Richardson, LPC
Title
Ceo/Therapist
Phone
(678) 424-8650

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LPC007446 GA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC007446 GA Primary
PsychoanalystGroup: 193200000X MULTI-SPECIALTY GROUP 102L00000X LPC007446 GA

Addresses

Primary practice location

1264 Concord Rd SE
Suite 106
Smyrna, GA 30080-5302

Mailing address

1264 Concord Rd SE
Suite 106
Smyrna, GA 30080-5302
Phone (678) 424-8650

Other names 1

  • ReConnect Therapeutic Associates, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Angela Ronay Richardson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1114460243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 CONCORD RD SE",
            "address_2": "SUITE 106",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300805302",
            "telephone_number": "678-424-8650",
            "fax_number": "678-424-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 CONCORD RD SE",
            "address_2": "SUITE 106",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300805302",
            "telephone_number": "678-424-8650",
            "fax_number": "678-424-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA RONAY RICHARDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/THERAPIST",
        "authorized_official_telephone_number": "678-424-8650",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007446",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007446",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "GA",
            "license": "LPC007446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReConnect Therapeutic Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.