Organization Active NPI

Refining Perceptions

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1225600885
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
REFINING PERCEPTIONS
Practice address
175 Langley Dr Ste E1
Lawrenceville, GA 30046-6952
Phone
(470) 219-1472
NPI assigned
Jul 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Mrs. Jonita Leandra McKinneyNPI 1487226569
Title
Ceo
Phone
(470) 219-1472

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

175 Langley Dr Ste E1
Lawrenceville, GA 30046-6952

Mailing address

175 Langley Dr Ste 1
Lawrenceville, GA 30046-6929
Phone (470) 219-1472

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL @refiningfireatl.org
CONNECT URL @refiningfireatl.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231030003186 GA Part B Supplier - Clinic/Group Practice 5294181020 Receives reassigned benefits from 2 practitioners
Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory

Locations

175 Langley Dr
Ste E1
Lawrenceville, GA 30046
Phone (470) 219-1472

Practitioners & affiliated clinicians

Practitioners 3

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": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1225600885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 LANGLEY DR STE 1",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466929",
            "telephone_number": "470-219-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LANGLEY DR STE E1",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300466952",
            "telephone_number": "470-219-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFINING PERCEPTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "JONITA",
        "authorized_official_middle_name": "LEANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-219-1472",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@refiningfireatl.org",
            "affiliation": "N",
            "address_1": "175 Langley Dr Ste E1",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300466952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@refiningfireatl.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "279 W Crogan St",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300466914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.