New Era Counseling & Educational Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC009420 Issued in GA

Legal business name

NEW ERA COUNSELING & EDUCATIONAL SERVICES LLC

Practice address

159 Burke St Ste 208
Stockbridge, GA 30281-3430

Phone

(678) 430-2921

NPI assigned

Feb 26, 2018

Last updated

Feb 26, 2018By 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

Connie J Young-Gibraltarik, LPCNPI 1083153142

Title

Owner

Phone

(678) 430-2921

Specialties & licenses 1

Addresses

Locations

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.

• Connie J Young-Gibraltarik, MED, MA, LPC

  • Professional Counselor
  • Stockbridge, GA
  • NPI 1083153142
  NPD Authorized official

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1407357270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 EAGLES LANDING PKWY STE 665",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817343",
            "telephone_number": "678-430-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BURKE ST STE 208",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813430",
            "telephone_number": "678-430-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ERA COUNSELING & EDUCATIONAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG-GIBRALTARIK",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-430-2921",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC009420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Community/Behavioral Health Agency in Georgia

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