NPIMap

Organization Active NPI

The Potters House Family and Children Treatment Center

  • Community/Behavioral Health Agency
  • Stone Mountain, GA
National Provider Identifier
1386895324
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC005074 Issued in GA
Legal business name
THE POTTERS HOUSE FAMILY AND CHILDREN TREATMENT CENTER
Practice address
1899 Parker CT
Stone Mountain, GA 30087-3445
Phone
(678) 987-1020
Fax
(678) 987-1019
NPI assigned
Oct 8, 2008
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mara Perez
Title
Office Manager
Phone
(678) 987-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC005074 GA Primary

Addresses

Primary practice location

1899 Parker CT
Stone Mountain, GA 30087-3445

Mailing address

1899 Parker CT
Stone Mountain, GA 30087-3445
Phone (678) 987-1020

National Provider Directory

National Provider Directory
Tax ID family
The Potters House Family and Children Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1386895324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 PARKER CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873445",
            "telephone_number": "678-987-1020",
            "fax_number": "678-987-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 PARKER CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873445",
            "telephone_number": "678-987-1020",
            "fax_number": "678-987-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POTTERS HOUSE FAMILY AND CHILDREN TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-987-1020"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC005074",
            "primary": true
        }
    ],
    "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 Oct 8, 2008; 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.