Active NPI
Danielle Flint, LAPC
- Professional Counselor
- Woodstock, GA
National Provider Identifier
1255937934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC007704
- Practice address
- 2230 Towne Lake Pkwy Ste 120
Woodstock, GA 30189-5540 - Phone
- (678) 387-3488
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC007704 | GA | Primary |
Addresses
Primary practice location
2230 Towne Lake Pkwy Ste 120
Woodstock, GA 30189-5540
Mailing address
726 Estuary TRL
Alpharetta, GA 30005-3040
Phone (770) 354-9358
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.theranest.com | Direct | Family Renewal Counseling, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 27, 2024 through Aug 27, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC007704 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1255937934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 ESTUARY TRL",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053040",
"telephone_number": "770-354-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 TOWNE LAKE PKWY STE 120",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895540",
"telephone_number": "678-387-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLINT",
"first_name": "DANIELLE",
"credential": "LAPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC007704",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.theranest.com",
"affiliation": "Y",
"endpointDescription": "Personal Laptop",
"affiliationName": "Family Renewal Counseling, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2230 Towne Lake Pkwy Ste 120",
"city": "Woodstock",
"state": "GA",
"country_code": "US",
"postal_code": "301895540",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.