Active NPI
Village Health Initiative
- Mental Health Counselor
- Atlanta, GA
National Provider Identifier
1245696723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC006820
- Legal business name
- VILLAGE HEALTH INITIATIVE
- Practice address
- 386 Pine St NE
Atlanta, GA 30308-2532 - Phone
- (678) 480-8302
- NPI assigned
- Jan 13, 2016
- Last updated
- Jan 20, 2016
- 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
- Ms. Erlese M Caruth, NCC, LPC, C-MFT
- Title
- Director
- Phone
- (678) 480-8302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC006820 | GA | Primary |
Addresses
Primary practice location
386 Pine St NE
Atlanta, GA 30308-2532
Mailing address
386 Pine St NE
Atlanta, GA 30308-2532
National Provider Directory
National Provider Directory- Tax ID family
- The Village Health Initiative
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Counselor
- Atlanta, GA
- NPI 1205230307
Locations
386 Pine St NE
Atlanta, GA 30308
Phone (251) 753-3508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453248000000",
"number": "1245696723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 PINE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "386 PINE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082532",
"telephone_number": "678-480-8302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE HEALTH INITIATIVE",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-13",
"last_updated": "2016-01-20",
"status": "A",
"authorized_official_last_name": "CARUTH",
"authorized_official_first_name": "ERLESE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "678-480-8302",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NCC, LPC, C-MFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC006820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- John C Vilece, DDS
- Pablo Ramon Villa-Garcia, MD
- Tiffany Villa, PTA
- Diana Sofia Villacis Nunez, M.D.
- Village at Home of Georgia PLLC LLC
- Village Podiatry Group II, LLC.
- Village Podiatry Group II, LLC.
- Village Podiatry Group LLC (Village Wound Care Center)
- Village Podiatry Group LLC
- Village Podiatry Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.