Organization Active NPI

SJBM Enterprises LLC

  • Professional Counselor
  • Newnan, GA
National Provider Identifier
1427715747
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SJBM ENTERPRISES LLC
Practice address
15 Lagrange St Ste C
Newnan, GA 30263-2693
Phone
(770) 328-2731
NPI assigned
Nov 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Stefanie Moore, LPCNPI 1285266858
Title
Owner/ Provider
Phone
(770) 328-0490

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

15 Lagrange St Ste C
Newnan, GA 30263-2693

Mailing address

147 Hunterian PL
Newnan, GA 30265-5619
Phone (770) 328-2731

Other names 1

  • Courageous Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

15 Lagrange St
Ste C
Newnan, GA 30263
Phone (404) 431-5470

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": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1427715747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 HUNTERIAN PL",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655619",
            "telephone_number": "770-328-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LAGRANGE ST STE C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632693",
            "telephone_number": "770-328-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJBM ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "770-328-0490",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courageous Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.