Active NPI
Samuels Holistic Counseling Services LLC
- Professional Counselor
- Stockbridge, GA
National Provider Identifier
1316779564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SAMUELS HOLISTIC COUNSELING SERVICES LLC
- Practice address
- 5534 N Henry Blvd
Stockbridge, GA 30281-3220 - Phone
- (770) 893-8044
- NPI assigned
- Aug 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terry Samuels
- Title
- Owner
- Phone
- (770) 893-8044
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
5534 N Henry Blvd
Stockbridge, GA 30281-3220
Mailing address
5534 N Henry Blvd
Stockbridge, GA 30281-3220
Phone (770) 893-8044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
224 Arrowhead Blvd
Ste 101
Jonesboro, GA 30236
Phone (770) 893-8044
5534 N Henry Blvd
Stockbridge, GA 30281
Phone (770) 389-4744
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Stockbridge, GA
- NPI 1649720913
-
- Professional Counselor
- Hiram, GA
- NPI 1851081343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1316779564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5534 N HENRY BLVD",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302813220",
"telephone_number": "770-893-8044",
"fax_number": "678-545-0821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5534 N HENRY BLVD",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302813220",
"telephone_number": "770-893-8044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUELS HOLISTIC COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-16",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A",
"authorized_official_last_name": "SAMUELS",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-893-8044",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.