Organization Active NPI

Village Health Initiative

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1245696723
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC006820 Issued in GA
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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)CodeLicenseStatePrimary
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 Initiative2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.