Organization Active NPI

Centerpoint Therapeutic Services, Inc.

  • Clinical Social Worker
  • Woodstock, GA
National Provider Identifier
1124295472
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1455, 1623 Issued in GA
Legal business name
CENTERPOINT THERAPEUTIC SERVICES, INC.
Practice address
317 Creekstone RDG
Woodstock, GA 30188-3745
Phone
(770) 516-7138
Fax
(770) 516-3018
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Staci Bond, LCSWNPI 1558419101
Title
Ceo
Phone
(770) 516-7138

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1455, 1623 GA Primary

Addresses

Primary practice location

317 Creekstone RDG
Woodstock, GA 30188-3745

Mailing address

317 Creekstone RDG
Woodstock, GA 30188-3745
Phone (770) 516-7138

Other names 1

  • Centerpoint and Associates, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131226000601 GA Part B Supplier - Clinic/Group Practice 1759518590 Receives reassigned benefits from 2 practitioners
Practice locations: Woodstock, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1124295472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 CREEKSTONE RDG",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883745",
            "telephone_number": "770-516-7138",
            "fax_number": "770-516-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 CREEKSTONE RDG",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883745",
            "telephone_number": "770-516-7138",
            "fax_number": "770-516-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPOINT THERAPEUTIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-516-7138",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "1455, 1623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centerpoint and Associates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.