Active NPI
Gems Counseling and Consulting LLC
- Professional Counselor
- Richmond Hill, GA
National Provider Identifier
1114503182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- GEMS COUNSELING AND CONSULTING LLC
- Practice address
- 10149 Ford Avenue
Office #4
Richmond Hill, GA 31324 - Phone
- (912) 507-3362
- NPI assigned
- Mar 22, 2021
- 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
- Kimberly Davis
- Title
- Credentialing Specialists
- Phone
- (912) 373-4385
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
10149 Ford Avenue
Office #4
Richmond Hill, GA 31324
Mailing address
101 Blue Moon Xing Ste 3
Pooler, GA 31322-9798
Phone (912) 507-3362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APC007072 | Other | GA | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
2525 Moody Rd
Ste 123
Warner Robins, GA 31088
Phone (912) 507-3362
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Warner Robbins, GA
- NPI 1326624149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616371200000",
"number": "1114503182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BLUE MOON XING STE 3",
"city": "POOLER",
"state": "GA",
"postal_code": "313229798",
"telephone_number": "912-507-3362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10149 FORD AVENUE",
"address_2": "OFFICE #4",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "31324",
"telephone_number": "912-507-3362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEMS COUNSELING AND CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-22",
"certification_date": "2021-02-26",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
"authorized_official_telephone_number": "912-373-4385"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "APC007072",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.