Envisioned Purpose LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ENVISIONED PURPOSE LLC

Practice address

1477 S Bethany Rd
Locust Grove, GA 30248

Phone

(470) 765-8770

NPI assigned

May 28, 2021

Last updated

Mar 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Nemard, PHD LPCNPI 1710465463

Title

Psychotherapist

Phone

(678) 463-0324

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Kristina Nemard, PHD, LPC

  • Mental Health Counselor
  • Morrow, GA
  • NPI 1710465463

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1366018541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 MOUNT ZION RD # 126",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302603313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 S BETHANY RD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "30248",
            "telephone_number": "470-765-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISIONED PURPOSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "NEMARD",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "678-463-0324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "envisionedpurposellc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "2045 Mount Zion Rd # 126",
            "city": "Morrow",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302603313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.