Individual provider Active NPI

Grace Eunhae Rock, MA, LMHC

  • Mental Health Counselor
  • Decatur, GA
National Provider Identifier
1306240478
Registry record updated Mar 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC010931 Issued in GA
Practice address
315 W Ponce de Leon Ave Ste 370
Decatur, GA 30030-2476
Phone
(630) 930-7059
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60666291 WA
Mental Health Counselor 101YM0800X LPC010931 GA Primary

Addresses

Primary practice location

315 W Ponce de Leon Ave Ste 370
Decatur, GA 30030-2476

Mailing address

435 Highland Ave NE Unit 1425
Atlanta, GA 30312-5315
Phone (630) 930-7059

Other practice location 1

753 N 35th St
Suite 307
Seattle, WA 98103-8870
Phone (206) 201-1121

Other names 1

  • Grace Eunhae Whang Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC010931GAMDMental Health Counselor
LH 60666291WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584230400000",
    "number": "1306240478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HIGHLAND AVE NE UNIT 1425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303125315",
            "telephone_number": "630-930-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 370",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302476",
            "telephone_number": "630-930-7059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "753 N 35th St",
            "address_2": "Suite 307",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981038870",
            "country_code": "US",
            "telephone_number": "206-201-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCK",
        "first_name": "GRACE",
        "middle_name": "EUNHAE",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2020-03-15",
        "certification_date": "2020-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60666291",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "WHANG",
            "middle_name": "EUNHAE",
            "credential": "MA, LMHC, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.