NPIMap

Organization Active NPI

Counseling Connection and Services, LLC

  • Professional Counselor
  • Villa Rica, GA
National Provider Identifier
1295706547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4394 Issued in GA
Legal business name
COUNSELING CONNECTION AND SERVICES, LLC
Practice address
224 S Candler St
Villa Rica, GA 30180-2603
Phone
(404) 502-8664
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eric Dansby, LPCNPI 1144375254
Title
General Manager/Ceo
Phone
(404) 502-8664

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 4394 GA Primary

Addresses

Primary practice location

224 S Candler St
Villa Rica, GA 30180-2603

Mailing address

PO Box 881
Bremen, GA 30110-0881
Phone (404) 502-8664

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295706547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881",
            "city": "BREMEN",
            "state": "GA",
            "postal_code": "301100881",
            "telephone_number": "404-502-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S CANDLER ST",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802603",
            "telephone_number": "404-502-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING CONNECTION AND SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANSBY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "GENERAL MANAGER/CEO",
        "authorized_official_telephone_number": "404-502-8664",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "4394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.