Organization Active NPI

Atlanta Counseling and Wellness, LLC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1225485980
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0003920 Issued in GA
Legal business name
ATLANTA COUNSELING AND WELLNESS, LLC
Practice address
1760 Century Blvd NE Ste B
Atlanta, GA 30345-3310
Phone
(770) 380-0044
NPI assigned
May 23, 2016
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Veronica B Pomernaz, LPC
Title
Owner/Therapist
Phone
(770) 380-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0003920 GA Primary

Addresses

Primary practice location

1760 Century Blvd NE Ste B
Atlanta, GA 30345-3310

Mailing address

1760 Century Blvd NE Ste B
Atlanta, GA 30345-3310
Phone (770) 380-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240725003611 GA Part B Supplier - Clinic/Group Practice 8123564176 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

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": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1225485980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 CENTURY BLVD NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453310",
            "telephone_number": "770-380-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 CENTURY BLVD NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453310",
            "telephone_number": "770-380-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "POMERNAZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "770-380-0044",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC0003920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.