Organization Active NPI

Port Counseling & Consultation

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1265891014
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PORT COUNSELING & CONSULTATION
Practice address
2000 Riveredge Pkwy
Ste 885
Atlanta, GA 30328-4694
Phone
(678) 382-3187
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Miranda Campbell, LCSW
Title
Director
Phone
(678) 382-3187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2000 Riveredge Pkwy
Ste 885
Atlanta, GA 30328-4694

Mailing address

2346 Kings Point Dr
Dunwoody, GA 30338-5925

National Provider Directory

National Provider Directory

Locations

4536 Barclay Dr
Ste A
Atlanta, GA 30338
Phone (770) 458-8711

1930 N Druid Hills Rd NE
Brookhaven, GA 30319
Phone (404) 500-2879

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1265891014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 KINGS POINT DR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RIVEREDGE PKWY",
            "address_2": "STE 885",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284694",
            "telephone_number": "678-382-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT COUNSELING & CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-382-3187",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Feb 22, 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.