Individual provider Active NPI

Danielle Flint, LAPC

  • Professional Counselor
  • Woodstock, GA
National Provider Identifier
1255937934
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC007704 Issued in GA
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

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
APC007704GAMDProfessional 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

Verify at the official NPI Registry.