Organization Active NPI

Counseling Crisis and Caring, LLC

  • Health Maintenance Organization
  • Atlanta, GA
National Provider Identifier
1295108140
Registry record updated Oct 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
15015001 Issued in GA
Legal business name
COUNSELING CRISIS AND CARING, LLC
Practice address
3330 Cumberland Blvd SE Ste 500
Atlanta, GA 30339-5997
Phone
(770) 933-6222
Fax
(404) 228-6597
NPI assigned
Oct 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2015

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

Authorized official

Name
Crestre Merita Boddy, MSWNPI 1598113276
Title
Ceo
Phone
(770) 310-3257

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)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 15015001 GA Primary

Addresses

Primary practice location

3330 Cumberland Blvd SE Ste 500
Atlanta, GA 30339-5997

Mailing address

3330 Cumberland Blvd SE Ste 500
Atlanta, GA 30339-5997
Phone (770) 933-6222

National Provider Directory

National Provider Directory

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": "1446249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446249600000",
    "number": "1295108140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395997",
            "telephone_number": "770-933-6222",
            "fax_number": "404-228-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395997",
            "telephone_number": "770-933-6222",
            "fax_number": "404-228-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CRISIS AND CARING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-31",
        "last_updated": "2015-10-31",
        "status": "A",
        "authorized_official_last_name": "BODDY",
        "authorized_official_first_name": "CRESTRE",
        "authorized_official_middle_name": "MERITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-310-3257",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "15015001",
            "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 Oct 31, 2015; 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.