Organization Active NPI

Perspective Mental Health and Addiction, LLC

  • Community/Behavioral Health Agency
  • Roswell, GA
National Provider Identifier
1457074403
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PERSPECTIVE MENTAL HEALTH AND ADDICTION, LLC
Practice address
500 Sun Valley Dr Ste G2
Roswell, GA 30076-5639
Phone
(678) 488-9563
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Donte Randall, CADCIINPI 1588354732
Title
Owner/ Substance Abuse Counselor
Phone
(678) 488-9563

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

500 Sun Valley Dr Ste G2
Roswell, GA 30076-5639

Mailing address

640 Oakmont HL
Duluth, GA 30097-5744
Phone (678) 488-9563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231102000070 GA Part B Supplier - Clinic/Group Practice 6406202027 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

500 Sun Valley Dr
Roswell, GA 30076
Phone (347) 400-1772

500 Sun Valley Dr
Ste G2
Roswell, GA 30076
Phone (678) 488-9563

Practitioners & affiliated clinicians

Practitioners 4

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": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1457074403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 OAKMONT HL",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975744",
            "telephone_number": "678-488-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR STE G2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765639",
            "telephone_number": "678-488-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSPECTIVE MENTAL HEALTH AND ADDICTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "DONTE",
        "authorized_official_title_or_position": "OWNER/ SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "678-488-9563",
        "authorized_official_credential": "CADCII"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.