New Beginnings Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004566 Issued in GA

Legal business name

NEW BEGINNINGS COUNSELING, LLC

Practice address

104 Pilgrim Village Dr
Suite 300
Cumming, GA 30040-9229

Phone

(678) 740-3022

NPI assigned

Nov 11, 2016

Organization subpart

No

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

Authorized official

Name

Lisa Ann SackellaresNPI 1558619833

Title

LCSW

Phone

(678) 740-3022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Ann Sackellares, LCSW

  • Clinical Social Worker
  • Norcross, GA
  • NPI 1558619833
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1487196192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6195 HARBOUR OVERLOOK",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300056901",
            "telephone_number": "678-740-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PILGRIM VILLAGE DR",
            "address_2": "SUITE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409229",
            "telephone_number": "678-740-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "SACKELLARES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "678-740-3022"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Cumming, GA
• Providers in Cumming, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.