Active NPI
Stone Mountain Christian Counseling Services Inc
- Mental Health Counselor
- Stone Mountain, GA
National Provider Identifier
1366574618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2378LPC
- Legal business name
- STONE MOUNTAIN CHRISTIAN COUNSELING SERVICES INC
- Practice address
- 1000 Main Street
Suite a
Stone Mountain, GA 30083 - Phone
- (770) 498-6300
- Fax
- (770) 498-4999
- NPI assigned
- Mar 12, 2007
- Last updated
- Aug 22, 2020
- 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
- Mrs. Merridy K Vescovo, LPC LMFT
- Title
- Vice President
- Phone
- (770) 498-6300
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2378LPC | GA | Primary |
| Mental Health Counselor | 101YM0800X | 867LMFT | GA |
Addresses
Primary practice location
1000 Main Street
Suite a
Stone Mountain, GA 30083
Mailing address
1000 Main Street
Suite a
Stone Mountain, GA 30083
Phone (770) 498-6300
National Provider Directory
National Provider DirectoryLocations
1000 Main St
Ste A
Stone Mountain, GA 30083
Phone (770) 498-6300
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Marriage & Family Therapist
- Stone Mountain, GA
- NPI 1366579062
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366574618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MAIN STREET",
"address_2": "SUITE A",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "30083",
"telephone_number": "770-498-6300",
"fax_number": "770-498-4999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MAIN STREET",
"address_2": "SUITE A",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "30083",
"telephone_number": "770-498-6300",
"fax_number": "770-498-4999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONE MOUNTAIN CHRISTIAN COUNSELING SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VESCOVO",
"authorized_official_first_name": "MERRIDY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "770-498-6300",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "2378LPC",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "867LMFT",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.