NPIMap

Organization Active NPI

Betterself Community Care LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mableton, GA
National Provider Identifier
1295398345
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BETTERSELF COMMUNITY CARE LLC
Practice address
6268 Oakdale Rd SE
Mableton, GA 30126-2836
Phone
(401) 263-6467
NPI assigned
Apr 15, 2019
Last updated
Apr 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Ngoneh Bullard, LCSW
Title
Owner
Phone
(401) 263-6467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6268 Oakdale Rd SE
Mableton, GA 30126-2836

Mailing address

1812 Evadale CT
Mableton, GA 30126-5741
Phone (401) 263-6467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295398345. Details of each certification follow.

  • CCN 114629 Community mental health center · Active · Name & address match · Details

Community mental health center certification: CCN 114629

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BETTERSELF COMMUNITY CARE, LLC
Certification status
Active
Provider type (POS)
Community mental health center
Participating since
Jan 23, 2020
Last certification
Nov 18, 2025
Ownership / control type
For profit – individual
Facility address
6268 Oakdale Road Southeast
Mableton, GA 30126

National Provider Directory

National Provider Directory

Locations

6268 Oakdale Rd SE
Mableton, GA 30126
Phone (401) 263-6467

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1295398345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 EVADALE CT",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265741",
            "telephone_number": "401-263-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 OAKDALE RD SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262836",
            "telephone_number": "401-263-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTERSELF COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "NGONEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-263-6467",
        "authorized_official_credential": "LCSW"
    },
    "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 Mableton, GA

Sources for this page

Verify at the official NPI Registry.