Organization Active NPI

Angels Recovery

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1255743837
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW004248 Issued in GA
Legal business name
ANGELS RECOVERY
Practice address
6755 Peachtree Industrial Blvd
110
Atlanta, GA 30360-2223
Phone
(404) 312-6531
NPI assigned
May 29, 2014
Last updated
May 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Elizabeth ToledoNPI 1851564926
Title
Director
Phone
(404) 312-6531

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 Counselor 101YM0800X CSW004248 GA Primary

Addresses

Primary practice location

6755 Peachtree Industrial Blvd
110
Atlanta, GA 30360-2223

Mailing address

1200 Independence Way
Norcross, GA 30093-6810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140807002489 GA Part B Supplier - Clinic/Group Practice 1951527688 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA; Jonesboro, GA; Norcross, GA

National Provider Directory

National Provider Directory

Locations

124 S Main St
Ste 1H
Jonesboro, GA 30236
Phone (404) 312-6531

716 Holcomb Bridge Rd
Norcross, GA 30071
Phone (423) 903-9761

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1255743837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 INDEPENDENCE WAY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300936810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303602223",
            "telephone_number": "404-312-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-312-6531"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW004248",
            "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 May 29, 2014; 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.