Inner Atlas Counseling, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

INNER ATLAS COUNSELING, LLC

Practice address

2853 Candler Rd Unit 370519
Decatur, GA 30034-1433

Phone

(727) 403-4008

NPI assigned

Mar 28, 2022

Last updated

Mar 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nichole Grimes, MA, LPC, LMHCNPI 1962991513

Title

Owner

Phone

(727) 403-4008

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Nichole Grimes, MA, LPC, LMHC

  • Counselor
  • Roswell, GA
  • NPI 1962991513
  NPD Authorized official
• Melissa Kern Griswold, MSW

  • Clinical Social Worker
  • Concord, NC
  • NPI 1073069662
  NPD (past)

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1295485597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 CANDLER RD UNIT 370519",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341433",
            "telephone_number": "727-403-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 CANDLER RD UNIT 370519",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341433",
            "telephone_number": "727-403-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1994 Willa Way",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300324272",
            "country_code": "US",
            "telephone_number": "727-403-4008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNER ATLAS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-403-4008",
        "authorized_official_credential": "MA, LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.