Organization Active NPI

Atlas Concepts, LLC

  • Professional Counselor
  • Rock Hill, SC
National Provider Identifier
1396507133
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ATLAS CONCEPTS, LLC
Practice address
1030 Riverwalk Pkwy Ste 204
Rock Hill, SC 29730-4265
Phone
(803) 681-0778
Fax
(803) 909-9064
NPI assigned
Jan 26, 2024
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Jordache Williams, LPCNPI 1760976773
Title
Therapist
Phone
(803) 681-0778

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 Counselor 101YP2500X Primary

Addresses

Primary practice location

1030 Riverwalk Pkwy Ste 204
Rock Hill, SC 29730-4265

Mailing address

PO Box 36652
Rock Hill, SC 29732-0510
Phone (803) 681-0778

Other identifiers 1

IdentifierTypeStateIssuer
1760976773MedicaidSC

National Provider Directory

National Provider Directory

Locations

1030 Riverwalk Pkwy
Ste 204
Rock Hill, SC 29730
Phone (803) 681-0778

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": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1396507133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36652",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297320510",
            "telephone_number": "803-681-0778",
            "fax_number": "803-909-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 RIVERWALK PKWY STE 204",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304265",
            "telephone_number": "803-681-0778",
            "fax_number": "803-909-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS CONCEPTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JORDACHE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "803-681-0778",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760976773",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.