Organization Active NPI

Living in Freedom Counseling

  • Clinical Social Worker
  • Cartersville, GA
National Provider Identifier
1215579933
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVING IN FREEDOM COUNSELING
Doing business as
Living in Freedom Counseling
Practice address
911 N Tennessee St
Cartersville, GA 30120-8514
Phone
(770) 765-0988
Fax
(770) 621-9952
NPI assigned
Oct 14, 2019
Last updated
Oct 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Cynthia Russell, LCSW
Title
Co Owner of Living in Freedom
Phone
(770) 864-6847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

911 N Tennessee St
Cartersville, GA 30120-8514

Mailing address

2540 Ridgecrest Dr NW
Kennesaw, GA 30152-3439
Phone (770) 864-6847

Other names 1

  • Living in Freedom Counseling Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL theranest.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1215579933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 RIDGECREST DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523439",
            "telephone_number": "770-864-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N TENNESSEE ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301208514",
            "telephone_number": "770-765-0988",
            "fax_number": "770-621-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING IN FREEDOM COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CO OWNER OF LIVING IN FREEDOM",
        "authorized_official_telephone_number": "770-864-6847",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "theranest.com",
            "affiliation": "N",
            "endpointDescription": "protected health information account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "911 N Tennessee St",
            "city": "Cartersville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301208514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Living in Freedom Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.