Organization Active NPI

Collier Counseling, LLC

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1386193142
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004918 Issued in GA
Legal business name
COLLIER COUNSELING, LLC
Practice address
2295 Parklake Dr NE
Suite 570
Atlanta, GA 30345-2844
Phone
(404) 618-1040
Fax
(404) 618-1040
NPI assigned
Sep 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Autumn Collier, LCSWNPI 1063787141
Title
Owner
Phone
(404) 618-1040

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CSW004918 GA Primary

Addresses

Primary practice location

2295 Parklake Dr NE
Suite 570
Atlanta, GA 30345-2844

Mailing address

2295 Parklake Dr NE
Suite 570
Atlanta, GA 30345-2844
Phone (404) 618-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250915000798 GA Part B Supplier - Clinic/Group Practice 7810490869 Receives reassigned benefits from 3 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2295 Parklake Dr NE
Ste 570
Atlanta, GA 30345
Phone (404) 618-1040

2295 Parklake Dr NE
Ste 577
Atlanta, GA 30345
Phone (404) 618-1040

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": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1386193142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 PARKLAKE DR NE",
            "address_2": "SUITE 570",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452844",
            "telephone_number": "404-618-1040",
            "fax_number": "404-618-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 PARKLAKE DR NE",
            "address_2": "SUITE 570",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452844",
            "telephone_number": "404-618-1040",
            "fax_number": "404-618-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-618-1040",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.