Organization Active NPI

Oliver Counseling Service

  • Community/Behavioral Health Agency
  • Austell, GA
National Provider Identifier
1316599566
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OLIVER COUNSELING SERVICE
Practice address
2777 Jefferson St Ste 8
Austell, GA 30168-4054
Phone
(678) 631-7172
NPI assigned
Jul 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Authorized official

Name
Tyrone Oliver, LPCNPI 1083067003
Title
LPC
Phone
(678) 631-7172

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2777 Jefferson St Ste 8
Austell, GA 30168-4054

Mailing address

4665 Oakleigh Manor Dr
Powder Springs, GA 30127-4937
Phone (678) 631-7172

National Provider Directory

National Provider Directory

Locations

2777 Jefferson St
Ste 8
Austell, GA 30168
Phone (678) 631-7172

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": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1316599566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 OAKLEIGH MANOR DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274937",
            "telephone_number": "678-631-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 JEFFERSON ST STE 8",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684054",
            "telephone_number": "678-631-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "678-631-7172",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.