NPIMap

Organization Active NPI

Phoenix and Pearl Counseling Services, LLC

  • Marriage & Family Therapist
  • Atlanta, GA
National Provider Identifier
1316243975
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001071 Issued in GA
Legal business name
PHOENIX AND PEARL COUNSELING SERVICES, LLC
Practice address
1708 Peachtree St NW
Suite 505
Atlanta, GA 30309-2434
Phone
(404) 901-5889
Fax
(404) 872-0925
NPI assigned
Jan 31, 2011
Last updated
Jan 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Tanya Elise Alexander, LMFT, ATR-BC
Title
Therapist
Phone
(404) 901-5889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001071 GA Primary

Addresses

Primary practice location

1708 Peachtree St NW
Suite 505
Atlanta, GA 30309-2434

Mailing address

1708 Peachtree St NW
Suite 505
Atlanta, GA 30309-2434
Phone (404) 901-5889

National Provider Directory

National Provider Directory

Locations

1708 Peachtree St NW
Ste 505
Atlanta, GA 30309
Phone (404) 791-3487

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": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1316243975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 PEACHTREE ST NW",
            "address_2": "SUITE 505",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092434",
            "telephone_number": "404-901-5889",
            "fax_number": "404-872-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 PEACHTREE ST NW",
            "address_2": "SUITE 505",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092434",
            "telephone_number": "404-901-5889",
            "fax_number": "404-872-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX AND PEARL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "404-901-5889",
        "authorized_official_credential": "LMFT, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001071",
            "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 Jan 31, 2011; 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.