NPIMap

Organization Active NPI

Petrichor Counseling, LLC

  • Counselor
  • Duluth, GA
National Provider Identifier
1366849820
Registry record updated Nov 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC007558 Issued in GA
Legal business name
PETRICHOR COUNSELING, LLC
Practice address
3460 Summit Ridge Pkwy
Ste 503
Duluth, GA 30096-1622
Phone
(678) 617-9204
Fax
(678) 550-9093
NPI assigned
Nov 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2014

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

Authorized official

Name
Julie CokerNPI 1710317078
Title
Counselor
Phone
(678) 617-9204

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X LPC007558 GA Primary

Addresses

Primary practice location

3460 Summit Ridge Pkwy
Ste 503
Duluth, GA 30096-1622

Mailing address

3460 Summit Ridge Pkwy
Ste 503
Duluth, GA 30096-1622

National Provider Directory

National Provider Directory

Locations

3460 Summit Ridge Pkwy
Ste 503
Duluth, GA 30096
Phone (678) 617-9204

Practitioners & affiliated clinicians

Practitioners 4

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": "1417132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417132800000",
    "number": "1366849820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 SUMMIT RIDGE PKWY",
            "address_2": "STE 503",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 SUMMIT RIDGE PKWY",
            "address_2": "STE 503",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961622",
            "telephone_number": "678-617-9204",
            "fax_number": "678-550-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRICHOR COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-28",
        "last_updated": "2014-11-28",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "678-617-9204"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC007558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; 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.