Organization Active NPI

Journey 4 Hope Counseling Center LLC

  • Clinical Social Worker
  • Dallas, GA
National Provider Identifier
1154806057
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOURNEY 4 HOPE COUNSELING CENTER LLC
Practice address
110 Evans Mill Dr Ste 306
Dallas, GA 30157-1623
Phone
(404) 500-9177
Fax
(770) 783-6628
NPI assigned
Sep 27, 2018
Last updated
Nov 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Carol Huff, LCSWNPI 1316316169
Title
Owner
Phone
(404) 316-3352

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

110 Evans Mill Dr Ste 306
Dallas, GA 30157-1623

Mailing address

57 Jessel LN
Douglasville, GA 30134-5901

Other practice location 1

57 Jessel Ln
Douglasville, GA 30134-5901
Phone (404) 316-3352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201229002119 GA Part B Supplier - Clinic/Group Practice 1850704438 Receives reassigned benefits from 1 practitioner
Practice locations: Douglasville, GA; Dallas, GA

National Provider Directory

National Provider Directory

Locations

110 Evans Mill Dr
Ste 306
Dallas, GA 30157
Phone (404) 316-3352

Practitioners & affiliated clinicians

Practitioners 1

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": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1154806057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 JESSEL LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR STE 306",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571623",
            "telephone_number": "404-500-9177",
            "fax_number": "770-783-6628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Jessel Ln",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301345901",
            "country_code": "US",
            "telephone_number": "404-316-3352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOURNEY 4 HOPE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-316-3352",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.