Gwinnett Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC009117 Issued in GA

Legal business name

GWINNETT COUNSELING, LLC

Practice address

3465 Lawrenceville Suwanee Rd
Suite a
Suwanee, GA 30024-7465

Phone

(470) 238-8587

Fax

(678) 248-9141

NPI assigned

Sep 1, 2016

Last updated

Nov 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Jackson, LPC

Title

Counselor

Phone

(470) 238-8587

Specialties & licenses 1

Addresses

Tax ID family

Gwinnett Counseling2 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.

• Gwinnett Counseling

  • Professional Counselor
  • Suwanee, GA
  • NPI 1780125948
  NPD tax ID

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1396292959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "470-238-8587",
            "fax_number": "678-248-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE A",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247465",
            "telephone_number": "470-238-8587",
            "fax_number": "678-248-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "470-238-8587",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gwinnett Counseling
• Gwinnett County Public Schools
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• Gwinnett Pediatric Dentistry

• Mental Health Counselor in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.