NPIMap

Organization Active NPI

Connected Hearts Counseling LLC

  • Clinic/Center
  • Powder Springs, GA
National Provider Identifier
1194405662
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CONNECTED HEARTS COUNSELING LLC
Practice address
3839 Oakview Dr
Suite 200
Powder Springs, GA 30112
Phone
(678) 785-9173
NPI assigned
Jul 20, 2023
Last updated
Jul 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Altreneasha ErvinNPI 1932565876
Title
Owner
Phone
(679) 789-9237

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
Clinic/Center 261Q00000X Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

3839 Oakview Dr
Suite 200
Powder Springs, GA 30112

Mailing address

3839 Oakview Dr
Suite 200
Powder Springs, GA 30112
Phone (678) 785-9173

National Provider Directory

National Provider Directory
Tax ID family
Connected Hearts Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3839 Oakview Dr
Ste 200
Powder Springs, GA 30112
Phone (678) 785-9173

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": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1194405662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 OAKVIEW DR",
            "address_2": "SUITE 200",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "30112",
            "telephone_number": "678-785-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 OAKVIEW DR",
            "address_2": "SUITE 200",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "30112",
            "telephone_number": "678-785-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED HEARTS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "ALTRENEASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "679-789-9237"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.