Organization Active NPI

New Life Counseling, LLC

Doing business as Monarch Counseling

  • Clinical Social Worker
  • Kennesaw, GA
National Provider Identifier
1437645785
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004424 Issued in GA
Legal business name
NEW LIFE COUNSELING, LLC
Doing business as
Monarch Counseling
Practice address
1301 Shiloh Rd NW Ste 450
Kennesaw, GA 30144-7152
Phone
(404) 426-3453
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Ginger Vislocky
Title
Office Manager
Phone
(404) 426-3453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 004424 GA Primary

Addresses

Primary practice location

1301 Shiloh Rd NW Ste 450
Kennesaw, GA 30144-7152

Mailing address

1301 Shiloh Rd NW Ste 450
Kennesaw, GA 30144-7152
Phone (404) 426-3453

Other names 1

  • Monarch Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1301 Shiloh Rd NW
Ste 450
Kennesaw, GA 30144
Phone (404) 426-3453

Practitioners & affiliated clinicians

Practitioners 3

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": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1437645785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 450",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447152",
            "telephone_number": "404-426-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 450",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447152",
            "telephone_number": "404-426-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "VISLOCKY",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-426-3453"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "004424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Monarch Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.