NPIMap

Organization Active NPI

Gracepoint Counseling Associates

Doing business as GracePoint Counseling Associates, LLC

  • Clinical Psychologist
  • Lilburn, GA
National Provider Identifier
1487705091
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
558 AND 1823 Issued in GA
Legal business name
GRACEPOINT COUNSELING ASSOCIATES
Doing business as
GracePoint Counseling Associates, LLC
Practice address
620 Hillcrest Rd NW
Suite 300
Lilburn, GA 30047-6892
Phone
(770) 638-1577
NPI assigned
Jan 12, 2007
Last updated
Nov 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Dr. Michael J. Brissett, PH.D.NPI 1407914773
Title
Member
Phone
(770) 638-1577

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 Psychologist 103TC0700X 558 AND 1823 GA Primary

Addresses

Primary practice location

620 Hillcrest Rd NW
Suite 300
Lilburn, GA 30047-6892

Mailing address

620 Hillcrest Rd NW
Suite 300
Lilburn, GA 30047-6892
Phone (770) 638-1577

Other names 1

  • GracePoint Counseling Associates, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

620 Hillcrest Rd NW
Ste 300
Lilburn, GA 30047
Phone (770) 638-1577

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1487705091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HILLCREST RD NW",
            "address_2": "SUITE 300",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476892",
            "telephone_number": "770-638-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 HILLCREST RD NW",
            "address_2": "SUITE 300",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476892",
            "telephone_number": "770-638-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEPOINT COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "BRISSETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "770-638-1577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "558 AND 1823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GracePoint Counseling Associates, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.