Organization Active NPI

Speak:Supporting People Emotionally and Kinesthetically LLC

  • Mental Health Counselor
  • Forest Park, GA
National Provider Identifier
1225868995
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Bria Alexis Campbell, LPC,R-DMTNPI 1922589589
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 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.

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

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.

Verify at the official NPI Registry.