Organization Active NPI

Family Solutions and Consultation Services, LLC

  • Community/Behavioral Health Agency
  • Decatur, GA
National Provider Identifier
1336559343
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSW001493 Issued in GA
Legal business name
FAMILY SOLUTIONS AND CONSULTATION SERVICES, LLC
Practice address
3013 Rainbow Dr Ste 200G
Decatur, GA 30034-1644
Phone
(404) 573-8151
Fax
(855) 873-6036
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Ms. Nina Kitchen, LCSWNPI 1750691358
Title
Owner
Phone
(404) 573-8151

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 CSW001493 GA Primary

Addresses

Primary practice location

3013 Rainbow Dr Ste 200G
Decatur, GA 30034-1644

Mailing address

3013 Rainbow Dr Ste 200G
Decatur, GA 30034-1644
Phone (404) 573-8151

Other identifiers 1

IdentifierTypeStateIssuer
003136763AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140718002001 GA Part B Supplier - Clinic/Group Practice 2163648619 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA

National Provider Directory

National Provider Directory

Locations

4153C Flat Shoals Pkwy
Ste 330H
Decatur, GA 30034
Phone (404) 573-8151

3013 Rainbow Dr
Ste 200G
Decatur, GA 30034
Phone (404) 573-8151

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": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1336559343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 RAINBOW DR STE 200G",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341644",
            "telephone_number": "404-573-8151",
            "fax_number": "855-873-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 RAINBOW DR STE 200G",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341644",
            "telephone_number": "404-573-8151",
            "fax_number": "855-873-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SOLUTIONS AND CONSULTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "KITCHEN",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-573-8151",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW001493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136763A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 29, 2014; 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.

Verify at the official NPI Registry.