Organization Active NPI

Atlas Child Counseling, PLLC

  • Clinical Social Worker
  • Southern Pines, NC
National Provider Identifier
1467952374
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P008888 Issued in NC
Legal business name
ATLAS CHILD COUNSELING, PLLC
Practice address
275 Pinehurst Ave Ste a
Southern Pines, NC 28387-7138
Phone
(910) 224-2307
Fax
(910) 684-8206
NPI assigned
Feb 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Mr. John Lawson, LCSW, MSW, RPTNPI 1205244100
Title
Child Therapist
Phone
(910) 224-2307

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X P008888 NC Primary

Addresses

Primary practice location

275 Pinehurst Ave Ste a
Southern Pines, NC 28387-7138

Mailing address

275 Pinehurst Ave Ste a
Southern Pines, NC 28387-7138
Phone (910) 224-2307

Other identifiers 1

IdentifierTypeStateIssuer
1205244100MedicaidNC

National Provider Directory

National Provider Directory

Locations

275 Pinehurst Ave
Ste A
Southern Pines, NC 28387
Phone (910) 224-2307

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": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1467952374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 PINEHURST AVE STE A",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877138",
            "telephone_number": "910-224-2307",
            "fax_number": "910-684-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 PINEHURST AVE STE A",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877138",
            "telephone_number": "910-224-2307",
            "fax_number": "910-684-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS CHILD COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHILD THERAPIST",
        "authorized_official_telephone_number": "910-224-2307",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, MSW, RPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P008888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205244100",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.