Overcomers Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008763 Issued in GA

Legal business name

OVERCOMERS COUNSELING

Practice address

109 Central Ave
Cartersville, GA 30120-3905

Phone

(404) 518-5705

Fax

(770) 334-3674

NPI assigned

Apr 6, 2016

Organization subpart

No

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

Authorized official

Name

Kimberly Rose Duff, LPCNPI 1649633728

Title

Owner

Phone

(404) 518-5705

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly R Duff, LPC, CRC

  • Professional Counselor
  • Cartersville, GA
  • NPI 1649633728
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1235593286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 KATHRYN GLEN DR",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301012018",
            "telephone_number": "404-518-5705",
            "fax_number": "770-334-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CENTRAL AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203905",
            "telephone_number": "404-518-5705",
            "fax_number": "770-334-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERCOMERS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "DUFF",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-518-5705",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.