North Pines Center Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CSW000675 Issued in GA

Legal business name

NORTH PINES CENTER INC

Practice address

3355 Medlock Bridge Rd
Norcross, GA 30092-3009

Phone

(770) 449-1111

Fax

(770) 449-8113

NPI assigned

Dec 22, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ken Scroggs, LCSW,LMFT,LPC,CEAP

Title

President, Ceo

Phone

(770) 449-1111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Andrew Scroggs, L.C.S.W

  • Clinical Social Worker
  • Norcross, GA
  • NPI 1114075876
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1144599002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 MEDLOCK BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923009",
            "telephone_number": "770-449-1111",
            "fax_number": "770-449-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MEDLOCK BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923009",
            "telephone_number": "770-449-1111",
            "fax_number": "770-449-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PINES CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "SCROGGS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "770-449-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW,LMFT,LPC,CEAP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW000675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Norcross, GA
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.