Organization Active NPI

My Secret Garden Counseling Service, LLC

  • Professional Counselor
  • Kennesaw, GA
National Provider Identifier
1336591775
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007952 Issued in GA
Legal business name
MY SECRET GARDEN COUNSELING SERVICE, LLC
Practice address
2985 Cherokee St NW
Kennesaw, GA 30144-2863
Phone
(770) 218-9005
NPI assigned
Jul 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Mrs. Margaret B Ast, LPC
Title
Counselor
Phone
(770) 218-9005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC007952 GA Primary

Addresses

Primary practice location

2985 Cherokee St NW
Kennesaw, GA 30144-2863

Mailing address

2985 Cherokee St NW
Kennesaw, GA 30144-2863
Phone (770) 218-9005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1336591775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2985 CHEROKEE ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442863",
            "telephone_number": "770-218-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 CHEROKEE ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442863",
            "telephone_number": "770-218-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SECRET GARDEN COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "AST",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "770-218-9005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.