Outrageous Love Foundation, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OUTRAGEOUS LOVE FOUNDATION, INC

Doing business as

Outrageous Love

Practice address

151 N Mimosa LN
Jackson, GA 30233-1914

Phone

(470) 214-4547

Fax

(470) 251-5141

NPI assigned

Jul 9, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Cassandra Eusery Knight

Title

Founder/Ceo

Phone

(470) 214-4547

Specialties & licenses 2

Addresses

Other names 1

• Outrageous Love Doing business as

Locations

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1427895333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302330008",
            "telephone_number": "470-214-4547",
            "fax_number": "470-251-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MIMOSA LN",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302331914",
            "telephone_number": "470-214-4547",
            "fax_number": "470-251-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTRAGEOUS LOVE FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "EUSERY",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "470-214-4547",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outrageous Love",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neurobloom Autism and Pediatrics Solutions
• Never Forgotten Ministries
• Jennifer Newman, APRN, FNP-C
• Jaimi Marie Norrell, NP-C
• Carol M Odegaard, M.D.
• Jasmin Patel, COTA
• Tejal Janak Patel I, PT, DPT
• Freedom Uhura Pitts, REGISTERED NURSE
• Crystal Ann Preston-Lloyd, NP-C
• Proficiency Scribes CS, LLC

• Mental Health Counselor in Jackson, GA
• Providers in Jackson, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.