NPIMap

Organization Active NPI

Key Essentials Counseling and Consulting LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mableton, GA
National Provider Identifier
1396248860
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
CSW003802 Issued in GA
Legal business name
KEY ESSENTIALS COUNSELING AND CONSULTING LLC
Practice address
1119 Silvergate LN
Mableton, GA 30126-1273
Phone
(404) 542-8787
NPI assigned
Mar 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Kevin Duane Larry, LMSW, LCSWNPI 1396932281
Title
Therapist
Phone
(404) 988-7120

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CSW003802 GA Primary
Adult Mental Health Clinic/Center 261QM0850X CSW003802 GA
Adolescent and Children Mental Health Clinic/Center 261QM0855X CSW003802 GA

Addresses

Primary practice location

1119 Silvergate LN
Mableton, GA 30126-1273

Mailing address

1119 Silvergate LN
Mableton, GA 30126-1273
Phone (404) 542-8787

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1396248860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 SILVERGATE LN",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261273",
            "telephone_number": "404-542-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 SILVERGATE LN",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261273",
            "telephone_number": "404-542-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY ESSENTIALS COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "LARRY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "404-988-7120",
        "authorized_official_credential": "LMSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "CSW003802",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "CSW003802",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": "CSW003802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.