Active NPI
Vista Counseling Services, LLC
- Professional Counselor
- Dahlonega, GA
National Provider Identifier
1134554488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004876
- Legal business name
- VISTA COUNSELING SERVICES, LLC
- Practice address
- 1112 Syrup Mill Dr.
Dahlonega, GA 30533-2788 - Phone
- (706) 338-1291
- NPI assigned
- Sep 5, 2013
- 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
- Dr. Christophe Pisarik, PH.D.
- Title
- Counselor
- Phone
- (706) 338-7300
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC004876 | GA | Primary |
| Clinical Social Worker | 1041C0700X | CSW004726 | GA | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
1112 Syrup Mill Dr.
Dahlonega, GA 30533-2788
Mailing address
PO Box 1394
Dahlonega, GA 30533
Phone (706) 338-1291
National Provider Directory
National Provider DirectoryLocations
585 Research Dr
Ste B
Athens, GA 30605
Phone (706) 543-3522
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
- Dahlonega, GA
- NPI 1932549862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633219200000",
"number": "1134554488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1394",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "30533",
"telephone_number": "706-338-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 SYRUP MILL DR.",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305332788",
"telephone_number": "706-338-1291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-05",
"last_updated": "2021-10-03",
"certification_date": "2021-10-03",
"status": "A",
"authorized_official_last_name": "PISARIK",
"authorized_official_first_name": "CHRISTOPHE",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "706-338-7300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004876",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004726",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.