Active NPI
Boys2Men Counseling LLC
- Community/Behavioral Health Agency
- Conyers, GA
National Provider Identifier
1376299388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BOYS2MEN COUNSELING LLC
- Practice address
- 2047 Gees Mill Rd NE Ste 217
Conyers, GA 30013-1361 - Phone
- (678) 614-8118
- Fax
- (678) 882-3969
- NPI assigned
- Feb 28, 2022
- 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
- Dennis Jones, LPC
- Title
- Owner
- Phone
- (678) 614-8118
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
2047 Gees Mill Rd NE Ste 217
Conyers, GA 30013-1361
Mailing address
2047 Gees Mill Rd NE Ste 217
Conyers, GA 30013-1361
Phone (678) 614-8118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003182878A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | b2mcounseling@gmail.edu | Direct |
National Provider Directory
National Provider DirectoryLocations
2047 Gees Mill Rd NE
Ste 217
Conyers, GA 30013
Phone (678) 614-8118
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Jonesboro, GA
- NPI 1609044429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646006400000",
"number": "1376299388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2047 GEES MILL RD NE STE 217",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131361",
"telephone_number": "678-614-8118",
"fax_number": "678-882-3969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2047 GEES MILL RD NE STE 217",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131361",
"telephone_number": "678-614-8118",
"fax_number": "678-882-3969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOYS2MEN COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-614-8118",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003182878A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "b2mcounseling@gmail.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "none",
"address_1": "2047 Gees Mill Rd NE Ste 217",
"city": "Conyers",
"state": "GA",
"country_code": "US",
"postal_code": "300131361",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.