Organization Active NPI

Nourished Recovery of Savannah, LLC

  • Professional Counselor
  • Savannah, GA
National Provider Identifier
1346767548
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NOURISHED RECOVERY OF SAVANNAH, LLC
Practice address
127 Abercorn St Ste 403
Savannah, GA 31401-4069
Phone
(912) 660-1841
NPI assigned
Aug 28, 2017
Last updated
Sep 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Authorized official

Name
Mrs. Mieke P Kramer, LPCNPI 1497159974
Title
Chief Executive Officer
Phone
(912) 659-9038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary
Clinical Social Worker 1041C0700X NU
Registered Dietitian 133V00000X NU

Addresses

Primary practice location

127 Abercorn St Ste 403
Savannah, GA 31401-4069

Mailing address

127 Abercorn St Ste 403
Savannah, GA 31401-4069
Phone (912) 659-9038

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1346767548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ABERCORN ST STE 403",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314014069",
            "telephone_number": "912-659-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ABERCORN ST STE 403",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314014069",
            "telephone_number": "912-660-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED RECOVERY OF SAVANNAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "MIEKE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "912-659-9038",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.