Organization Active NPI

Northwest Counseling Professionals

  • Addiction (Substance Use Disorder) Counselor
  • Hiram, GA
National Provider Identifier
1205563384
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
NORTHWEST COUNSELING PROFESSIONALS
Practice address
5604 Wendy Bagwell Pkwy Ste 811
Hiram, GA 30141-7819
Phone
(678) 720-2119
Fax
(678) 730-7242
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Carla Garvin, PHD, LPC, NCC, CACIINPI 1356390587
Title
Therapist
Phone
(678) 365-7243

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
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

5604 Wendy Bagwell Pkwy Ste 811
Hiram, GA 30141-7819

Mailing address

5604 Wendy Bagwell Pkwy Ste 811
Hiram, GA 30141-7819
Phone (678) 720-2119

Other identifiers 1

IdentifierTypeStateIssuer
LPC04621OtherGALICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

5604 Wendy Bagwell Pkwy
Ste 811
Hiram, GA 30141
Phone (678) 720-2119

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": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1205563384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 WENDY BAGWELL PKWY STE 811",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301417819",
            "telephone_number": "678-720-2119",
            "fax_number": "678-730-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 WENDY BAGWELL PKWY STE 811",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301417819",
            "telephone_number": "678-720-2119",
            "fax_number": "678-730-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COUNSELING PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "GARVIN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "678-365-7243",
        "authorized_official_credential": "PHD, LPC, NCC, CACII"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "LPC04621",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.