Active NPI
Perspective Mental Health and Addiction, LLC
- Community/Behavioral Health Agency
- Roswell, GA
National Provider Identifier
1457074403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donte Randall, CADCII
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Decatur, GA
- NPI 1841625803
-
- Addiction (Substance Use Disorder) Counselor
- Duluth, GA
- NPI 1588354732
Multi-Specialty
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- College Park, GA
- NPI 1699259408
-
- Professional Counselor
- Decatur, GA
- NPI 1376772400
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.