Harbor Springs Counseling Services LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

HARBOR SPRINGS COUNSELING SERVICES LLC

Practice address

1790 Mulkey Rd Ste 3a
Austell, GA 30106-1122

Phone

(770) 693-9388

Fax

(770) 693-9537

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly C Henderson, RPHNPI 1942892484

Title

Pharmacist

Phone

(404) 271-8768

Specialties & licenses 3

Addresses

Other names 1

• NONE Other name

Medicare fee-for-service enrollment

Enrolled in GA

Opioid treatment program

Medicare-enrolled since Apr 6, 2020

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Kimberly Coley Henderson, PHARM.D

  • Pharmacist
  • Austell, GA
  • NPI 1942892484
  NPD Authorized official

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1154889665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 POINTE RIDGE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303282755",
            "telephone_number": "404-271-8768",
            "fax_number": "404-592-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 MULKEY RD STE 3A",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061122",
            "telephone_number": "770-693-9388",
            "fax_number": "770-693-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR SPRINGS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "404-271-8768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nalanie Irene Hampton
• Ajay Handa, MD
• Hanger Prosthetics & Orthotics Inc
• Hitendra Hansalia, M.D.
• Kia Hansford, LPC
• Michael Hardee, MD
• Sujatha Hariharan, MD
• Ronnika C Harley, M.D.
• Jackie Harmon
• Caroline E Harris, CRNA

• Methadone Clinic in Austell, GA
• Providers in Austell, GA by specialty
• Methadone Clinic in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.