NPIMap

Organization Active NPI

McIntosh Trail Community Service Board

Doing business as Lamar County Counseling Center

  • Community/Behavioral Health Agency
  • Barnesville, GA
National Provider Identifier
1124295571
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MCINTOSH TRAIL COMMUNITY SERVICE BOARD
Doing business as
Lamar County Counseling Center
Practice address
130 Library Street
Barnesville, GA 30204
Phone
(770) 358-5252
Fax
(770) 229-3223
NPI assigned
May 14, 2008
Last updated
Jun 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Kenyatta Denise Walker, LCSW
Title
Ceo
Phone
(770) 358-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

130 Library Street
Barnesville, GA 30204

Mailing address

1435 North Expressway Suite 301
Griffin, GA 30223
Phone (770) 358-5252

Other identifiers 1

IdentifierTypeStateIssuer
000601609AHMedicaidGA

Other names 1

  • Lamar County Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McIntosh Trail CSB29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

130 Library St
Barnesville, GA 30204

133 Forsyth St
Barnesville, GA 30204
Phone (770) 358-0674

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1750291200000",
    "number": "1124295571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 NORTH EXPRESSWAY SUITE 301",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "30223",
            "telephone_number": "770-358-5252",
            "fax_number": "770-229-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LIBRARY STREET",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "30204",
            "telephone_number": "770-358-5252",
            "fax_number": "770-229-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCINTOSH TRAIL COMMUNITY SERVICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENYATTA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-358-5252",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000601609AH",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lamar County Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barnesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.