Organization Active NPI

Engage Counseling & Consulting, LLC

  • Community/Behavioral Health Agency
  • Lawrenceville, GA
National Provider Identifier
1144724055
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC009371 Issued in GA
Legal business name
ENGAGE COUNSELING & CONSULTING, LLC
Practice address
271 S Culver St Ste D
Lawrenceville, GA 30046-4805
Phone
(404) 586-4267
Fax
(800) 684-0723
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Nicolette Nari Martin, LPC
Title
Owner
Phone
(404) 803-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC009371 GA Primary

Addresses

Primary practice location

271 S Culver St Ste D
Lawrenceville, GA 30046-4805

Mailing address

6387 Mossy Oak LNDG
Braselton, GA 30517-6296
Phone (404) 803-5566

National Provider Directory

National Provider Directory

Locations

271 S Culver St
Ste D
Lawrenceville, GA 30046
Phone (404) 586-4267

Practitioners & affiliated clinicians

Practitioners 1

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": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1144724055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6387 MOSSY OAK LNDG",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176296",
            "telephone_number": "404-803-5566",
            "fax_number": "800-684-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 S CULVER ST STE D",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464805",
            "telephone_number": "404-586-4267",
            "fax_number": "800-684-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGAGE COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_middle_name": "NARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-803-5566",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC009371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.