Active NPI
Living in Freedom Counseling
- Clinical Social Worker
- Cartersville, GA
National Provider Identifier
1215579933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | theranest.com | Direct |
National Provider Directory
National Provider DirectoryNPI 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.