Organization Active NPI

Diverse Counseling & Psychological Associates, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1144552092
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
002740 Issued in GA
Legal business name
DIVERSE COUNSELING & PSYCHOLOGICAL ASSOCIATES, LLC
Practice address
2941 Piedmont Rd NE
Suite F
Atlanta, GA 30305-2784
Phone
(404) 869-9474
Fax
(404) 869-6421
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Sigrd Yvette Elston, PH.D.
Title
Licensed Psychologist
Phone
(404) 869-9474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 002740 GA Primary

Addresses

Primary practice location

2941 Piedmont Rd NE
Suite F
Atlanta, GA 30305-2784

Mailing address

2941 Piedmont Rd NE
Suite F
Atlanta, GA 30305-2784
Phone (404) 869-9474

Other identifiers 1

IdentifierTypeStateIssuer
179184200AMedicaidGA

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, 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": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1144552092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 PIEDMONT RD NE",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052784",
            "telephone_number": "404-869-9474",
            "fax_number": "404-869-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 PIEDMONT RD NE",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052784",
            "telephone_number": "404-869-9474",
            "fax_number": "404-869-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE COUNSELING & PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "ELSTON",
        "authorized_official_first_name": "SIGRD",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-869-9474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "002740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179184200A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.