NPIMap

Organization Active NPI

Care Counseling & Psychological Services, LLC

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1487898144
Registry record updated Apr 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004261 Issued in GA
Legal business name
CARE COUNSELING & PSYCHOLOGICAL SERVICES, LLC
Practice address
4319 Covington Hwy
Suite 214
Decatur, GA 30035-1210
Phone
(404) 284-1191
Fax
(404) 284-1807
NPI assigned
Apr 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2009

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

Authorized official

Name
Ms. Lydia J Canty, EDS, LPC
Title
Director
Phone
(404) 734-0954

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC004261 GA Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X APC002129 GA
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X PSY003237 GA

Addresses

Primary practice location

4319 Covington Hwy
Suite 214
Decatur, GA 30035-1210

Mailing address

4319 Covington Hwy
Suite 214
Decatur, GA 30035-1210
Phone (404) 284-1191

Other identifiers 1

IdentifierTypeStateIssuer
316802580MedicaidGA

Other names 1

  • Crown Counseling & Psychological Services Doing business as

National Provider Directory

National Provider Directory

Locations

4319 Covington Hwy
Ste 214
Decatur, GA 30035
Phone (404) 200-0334

Practitioners & affiliated clinicians

Practitioners 3

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": "1240704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240704000000",
    "number": "1487898144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 COVINGTON HWY",
            "address_2": "SUITE 214",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351210",
            "telephone_number": "404-284-1191",
            "fax_number": "404-284-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 COVINGTON HWY",
            "address_2": "SUITE 214",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351210",
            "telephone_number": "404-284-1191",
            "fax_number": "404-284-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE COUNSELING & PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-26",
        "last_updated": "2009-04-26",
        "status": "A",
        "authorized_official_last_name": "CANTY",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-734-0954",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EDS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004261",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC002129",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY003237",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316802580",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Counseling & Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2009; 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.