NPIMap

Organization Active NPI

Nextsteptowardsuccess

  • Professional Counselor
  • Douglasville, GA
National Provider Identifier
1417342718
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007081 Issued in GA
Legal business name
NEXTSTEPTOWARDSUCCESS
Practice address
8330 Office Park Dr
Douglasville, GA 30134-6937
Phone
(404) 840-8335
Fax
(770) 635-8101
NPI assigned
Apr 2, 2015
Last updated
Jul 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Mr. Talib A El, LPCNPI 1578805453
Title
Practitioner
Phone
(404) 840-8335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC007081 GA Primary

Addresses

Primary practice location

8330 Office Park Dr
Douglasville, GA 30134-6937

Mailing address

8330 Office Park Dr
Douglasville, GA 30134-6937
Phone (404) 840-8335

Other identifiers 1

IdentifierTypeStateIssuer
003134875AMedicaidGA

National Provider Directory

National Provider Directory

Locations

8330 Office Park Dr
Douglasville, GA 30134
Phone (404) 840-8335

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": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1417342718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 OFFICE PARK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346937",
            "telephone_number": "404-840-8335",
            "fax_number": "770-635-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 OFFICE PARK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346937",
            "telephone_number": "404-840-8335",
            "fax_number": "770-635-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTSTEPTOWARDSUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "EL",
        "authorized_official_first_name": "TALIB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "404-840-8335",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003134875A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.