Active NPI
Assurance Professional Services Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlanta, GA
National Provider Identifier
1275946451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ASSURANCE PROFESSIONAL SERVICES INC
- Practice address
- 1414 Moreland Ave SE
Atlanta, GA 30316-3207 - Phone
- (404) 627-1774
- Fax
- (404) 627-1765
- NPI assigned
- Jun 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clarence W Massie Jr., ICADC, CADC-II
- Title
- Agent
- Phone
- (404) 627-1774
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1414 Moreland Ave SE
Atlanta, GA 30316-3207
Mailing address
1414 Moreland Ave SE
Atlanta, GA 30316-3207
Phone (404) 627-1774
National Provider Directory
National Provider DirectoryLocations
1414 Moreland Ave SE
Atlanta, GA 30316
Phone (404) 627-1774
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Atlanta, GA
- NPI 1295148476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401926400000",
"number": "1275946451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 MORELAND AVE SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303163207",
"telephone_number": "404-627-1774",
"fax_number": "404-627-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 MORELAND AVE SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303163207",
"telephone_number": "404-627-1774",
"fax_number": "404-627-1765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSURANCE PROFESSIONAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-05",
"last_updated": "2014-06-05",
"status": "A",
"authorized_official_last_name": "MASSIE",
"authorized_official_first_name": "CLARENCE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "AGENT",
"authorized_official_telephone_number": "404-627-1774",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "ICADC, CADC-II"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"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 Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.