Active NPI
Master Plan Christian Counseling
- Community/Behavioral Health Agency
- Marietta, GA
National Provider Identifier
1285997551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 02127178
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.