NPIMap

Organization Active NPI

Marietta Counseling for Children and Adults

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1386066744
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008916 Issued in GA
Legal business name
MARIETTA COUNSELING FOR CHILDREN AND ADULTS
Practice address
2440 Sandy Plains Rd
Marietta, GA 30066-7217
Phone
(678) 642-1111
NPI assigned
Jan 20, 2014
Last updated
Apr 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Mr. Joseph Scott Pennington, LPCNPI 1457709735
Title
Therapist
Phone
(678) 642-1111

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
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X LPC008916 GA Primary

Addresses

Primary practice location

2440 Sandy Plains Rd
Marietta, GA 30066-7217

Mailing address

2440 Sandy Plains Rd
Marietta, GA 30066-7217
Phone (678) 642-1111

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": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1386066744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667217",
            "telephone_number": "678-642-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667217",
            "telephone_number": "678-642-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA COUNSELING FOR CHILDREN AND ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "678-642-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.