Organization Active NPI

Grace Anthony Counseling, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1245690080
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC004886 Issued in GA
Legal business name
GRACE ANTHONY COUNSELING, LLC
Practice address
3915 Cascade Rd SW
Ste 240
Atlanta, GA 30331-8512
Phone
(404) 604-1964
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Cha'Ke'Sha Spencer, LPC
Title
Psychotherapist
Phone
(404) 604-1962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC004886 GA Primary

Addresses

Primary practice location

3915 Cascade Rd SW
Ste 240
Atlanta, GA 30331-8512

Mailing address

6000 Stewart Pkwy
P.O. Box 5165
Douglasville, GA 30154-1128
Phone (404) 604-1962

National Provider Directory

National Provider Directory

Locations

3915 Cascade Rd SW
Ste 240
Atlanta, GA 30331
Phone (404) 604-1964

6000 Stewart Pkwy
Unit 5165
Douglasville, GA 30154

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1245690080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 STEWART PKWY",
            "address_2": "P.O. BOX 5165",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301541128",
            "telephone_number": "404-604-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW",
            "address_2": "STE 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318512",
            "telephone_number": "404-604-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ANTHONY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "CHA'KE'SHA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "404-604-1962",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC004886",
            "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 Mar 4, 2016; 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.