Organization Active NPI

Venerable Counseling Services

  • Community/Behavioral Health Agency
  • Decatur, GA
National Provider Identifier
1417347394
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CADC-II 664 Issued in GA
Legal business name
VENERABLE COUNSELING SERVICES
Practice address
235 E Ponce de Leon Ave
Suite 305
Decatur, GA 30030-3452
Phone
(770) 905-1291
Fax
(678) 668-7222
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Ms. Gail Venerable, LPC/CADC-II//ICADCNPI 1902296924
Title
Manager
Phone
(770) 905-1291

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
Community/Behavioral Health Agency 251S00000X CADC-II 664 GA Primary
Community/Behavioral Health Agency 251S00000X CAC-II 1827 GA
Community/Behavioral Health Agency 251S00000X LPC009133 GA

Addresses

Primary practice location

235 E Ponce de Leon Ave
Suite 305
Decatur, GA 30030-3452

Mailing address

235 E Ponce de Leon Ave
Suite 305
Decatur, GA 30030-3452
Phone (770) 905-1291

Other names 1

  • Venerable Counseling Services, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

235 E Ponce de Leon Ave
Ste 305
Decatur, GA 30030
Phone (770) 905-1291

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": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1417347394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E PONCE DE LEON AVE",
            "address_2": "SUITE 305",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303452",
            "telephone_number": "770-905-1291",
            "fax_number": "678-668-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E PONCE DE LEON AVE",
            "address_2": "SUITE 305",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303452",
            "telephone_number": "770-905-1291",
            "fax_number": "678-668-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENERABLE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "VENERABLE",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-905-1291",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC/CADC-II//ICADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CADC-II 664",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CAC-II  1827",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC009133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venerable Counseling Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.