NPIMap

Organization Active NPI

Rubin Counseling, LLC.

  • Community/Behavioral Health Agency
  • Suwanee, GA
National Provider Identifier
1184090086
Registry record updated Sep 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC008469 Issued in GA
Legal business name
RUBIN COUNSELING, LLC.
Practice address
3455 Lawrenceville Suwanee Rd Ste D
Suwanee, GA 30024-6425
Phone
(770) 759-0351
NPI assigned
Aug 13, 2015
Last updated
Sep 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2015

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

Authorized official

Name
Daniel Maxwell Rubin, LPC, MAC, NCCNPI 1245612761
Title
Ceo/Owner/Counselor
Phone
(770) 759-0351

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC008469 GA Primary
Community/Behavioral Health Agency 251S00000X 507744 GA

Addresses

Primary practice location

3455 Lawrenceville Suwanee Rd Ste D
Suwanee, GA 30024-6425

Mailing address

1740 Century Cir NE Apt 1253
Atlanta, GA 30345-3044
Phone (404) 759-0351

Other identifiers 1

IdentifierTypeStateIssuer
1245612761MedicaidGA

National Provider Directory

National Provider Directory

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": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441584000000",
    "number": "1184090086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 CENTURY CIR NE APT 1253",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453044",
            "telephone_number": "404-759-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LAWRENCEVILLE SUWANEE RD STE D",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246425",
            "telephone_number": "770-759-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBIN COUNSELING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-09-07",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MAXWELL",
        "authorized_official_title_or_position": "CEO/OWNER/COUNSELOR",
        "authorized_official_telephone_number": "770-759-0351",
        "authorized_official_credential": "LPC, MAC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC008469",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "507744",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245612761",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; 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.