Active NPI
Speak:Supporting People Emotionally and Kinesthetically LLC
- Mental Health Counselor
- Forest Park, GA
National Provider Identifier
1225868995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SPEAK:SUPPORTING PEOPLE EMOTIONALLY AND KINESTHETICALLY LLC
- Practice address
- 5953 Shady Lane Cir
Forest Park, GA 30297-3243 - Phone
- (773) 930-7998
- NPI assigned
- Aug 6, 2024
- 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
- Bria Alexis Campbell, LPC,R-DMT
- Title
- Therapist/Ceo
- Phone
- (773) 930-7998
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5953 Shady Lane Cir
Forest Park, GA 30297-3243
Mailing address
5953 Shady Lane Cir
Forest Park, GA 30297-3243
Phone (773) 930-7998
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- School Counselor
- Atlanta, GA
- NPI 1922589589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722902400000",
"number": "1225868995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5953 SHADY LANE CIR",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302973243",
"telephone_number": "773-930-7998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5953 SHADY LANE CIR",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302973243",
"telephone_number": "773-930-7998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEAK:SUPPORTING PEOPLE EMOTIONALLY AND KINESTHETICALLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "BRIA",
"authorized_official_middle_name": "ALEXIS",
"authorized_official_title_or_position": "THERAPIST/CEO",
"authorized_official_telephone_number": "773-930-7998",
"authorized_official_credential": "LPC,R-DMT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Park, GA
- Southern Care Medical Transport LLC
- Southern Crescent Family Practice, LLC
- Southside Medical Center, Inc
- Southside Medical Center, Inc
- Southside Medical Center, Inc.
- Courtney Latasha Steele, CCC-SLP
- Brian Kenneth Stell, PHARMD
- Julian Scott Stewart, D.D.S
- Lamechia Stone, PHLEBOTOMY
- Marsharne J. Sullivan, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.