Organization Active NPI

Counseling Associates of Northwest Georgia Inc

  • Professional Counselor
  • Rome, GA
National Provider Identifier
1295062990
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COUNSELING ASSOCIATES OF NORTHWEST GEORGIA INC
Practice address
101 E 2ND Ave
Suite 320
Rome, GA 30161-3177
Phone
(706) 291-9522
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Mr. Mark Edward Cleeland, M.S.ED
Title
Program Director
Phone
(706) 291-9522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

101 E 2ND Ave
Suite 320
Rome, GA 30161-3177

Mailing address

101 E 2ND Ave
Suite 320
Rome, GA 30161-3177
Phone (706) 291-9522

National Provider Directory

National Provider Directory

Locations

101 E 2nd Ave
Ste 320
Rome, GA 30161
Phone (706) 291-9522

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": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1295062990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 2ND AVE",
            "address_2": "SUITE 320",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613177",
            "telephone_number": "706-291-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 2ND AVE",
            "address_2": "SUITE 320",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613177",
            "telephone_number": "706-291-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING ASSOCIATES OF NORTHWEST GEORGIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "CLEELAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "706-291-9522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.ED"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.