Robert L Clemons II

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004041 Issued in GA

Legal business name

ROBERT L CLEMONS II

Practice address

101 Devant St
Suite 702
Fayetteville, GA 30214-2710

Phone

(770) 460-0970

Fax

(866) 758-5731

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert L Clemons II, LPCNPI 1548971260

Title

Ceo-Clinical Director

Phone

(770) 460-0970

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• New Heights Behavioral Consultants, Inc. Doing business as

Tax ID family

New Heights Behavioral Consultants Inc2 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.

• New Heights Behavioral Consultants, LLC

  • Community/Behavioral Health Agency
  • Fayetteville, GA
  • NPI 1114166519
  NPD tax ID

Practitioners 1

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

• Robert L Clemons II, LPC

  • Professional Counselor
  • Fayetteville, GA
  • NPI 1548971260
  NPD Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1205992146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST",
            "address_2": "SUITE 702",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142710",
            "telephone_number": "770-460-0970",
            "fax_number": "866-758-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST",
            "address_2": "SUITE 702",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142710",
            "telephone_number": "770-460-0970",
            "fax_number": "866-758-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L CLEMONS II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO-CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "770-460-0970",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "004041",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "641920572A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Heights Behavioral Consultants, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Hansard Rivers, M.ED., CCC-SLP
• Gina Marie Rizzo, CMT, NMT
• RJ Medical Supply
• RN Drip, LLC
• Emily Grace Crow Roberson, PHARMD
• Amanda Victoria Roberts, PHARMD, RPH
• Marilyn Catherine Roberts, M.S. LPC
• Stacy D Roberts, B.S., D.C.
• Terrence Jawaan Roberts, O.D.
• Lavert None Robertson I, N.D.

• Professional Counselor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.