NPIMap

Organization Active NPI

East Atlanta Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Smyrna, GA
National Provider Identifier
1124776588
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EAST ATLANTA COUNSELING SERVICES, INC.
Practice address
3499 S Cobb Dr SE Ste 205
Smyrna, GA 30080-4170
Phone
(404) 913-3623
NPI assigned
Mar 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Catherine Berry Moon, LCSWNPI 1124562475
Title
Owner
Phone
(478) 747-3559

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3499 S Cobb Dr SE Ste 205
Smyrna, GA 30080-4170

Mailing address

PO Box 170451
Atlanta, GA 30317-0451
Phone (404) 913-3623

Other practice location 1

317 W Hill St Ste 101
Decatur, GA 30030-4368
Phone (404) 913-3623

National Provider Directory

National Provider Directory

Locations

3499 S Cobb Dr SE
Ste 205
Smyrna, GA 30080
Phone (404) 913-3623

Practitioners & affiliated clinicians

Practitioners 4

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": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1124776588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170451",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303170451",
            "telephone_number": "404-913-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 S COBB DR SE STE 205",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804170",
            "telephone_number": "404-913-3623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 W Hill St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300304368",
            "country_code": "US",
            "telephone_number": "404-913-3623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST ATLANTA COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "BERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-747-3559",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 6, 2023; 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.