Organization Active NPI

Master Plan Christian Counseling

  • Community/Behavioral Health Agency
  • Marietta, GA
National Provider Identifier
1285997551
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
02127178 Issued in GA
Legal business name
MASTER PLAN CHRISTIAN COUNSELING
Practice address
133 Johnson Ferry Rd
Suite 110
Marietta, GA 30068-4923
Phone
(773) 241-4861
Fax
(678) 504-5590
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Mrs. Sharon J Ivy
Title
Pastoral Counselor
Phone
(773) 241-4861

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 02127178 GA Primary
Community/Behavioral Health Agency 251S00000X 02125023 GA

Addresses

Primary practice location

133 Johnson Ferry Rd
Suite 110
Marietta, GA 30068-4923

Mailing address

3632 River Heights Xing SE
Marietta, GA 30067-4870
Phone (773) 241-4861

National Provider Directory

National Provider Directory

Locations

133 Johnson Ferry Rd
Ste 110
Marietta, GA 30068
Phone (773) 241-4861

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1285997551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 RIVER HEIGHTS XING SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674870",
            "telephone_number": "773-241-4861",
            "fax_number": "678-504-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 JOHNSON FERRY RD",
            "address_2": "SUITE 110",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684923",
            "telephone_number": "773-241-4861",
            "fax_number": "678-504-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER PLAN CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "IVY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PASTORAL COUNSELOR",
        "authorized_official_telephone_number": "773-241-4861",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "02127178",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "02125023",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.