NPIMap

Organization Active NPI

Counseling Services of Atlanta, LLC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1508271024
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
COUNSELING SERVICES OF ATLANTA, LLC
Practice address
376 Powder Springs St Ste 240a
Marietta, GA 30064-3499
Phone
(678) 444-4505
NPI assigned
Jun 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Nancy Stevenson
Title
Manager
Phone
(678) 444-4505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

376 Powder Springs St Ste 240a
Marietta, GA 30064-3499

Mailing address

1812 Hidden Springs Walk SE
Smyrna, GA 30082-4254
Phone (678) 444-4505

Other practice location 1

4006 Holcomb Bridge Rd Ste 210
Peachtree Corners, GA 30092-1814
Phone (678) 444-4505

Other practice location 2

1215 Hightower Trl Ste D102
Sandy Springs, GA 30350-6207
Phone (678) 444-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240425001327 GA Part B Supplier - Clinic/Group Practice 8820438716 Receives reassigned benefits from 26 practitioners
Practice locations: Marietta, GA; Peachtree Corners, GA; Sandy Springs, GA

National Provider Directory

National Provider Directory

Locations

376 Powder Springs St
Ste 240A
Marietta, GA 30064
Phone (678) 404-4505

4006 Holcomb Bridge Rd
Ste 210
Peachtree Corners, GA 30092
Phone (678) 444-4505

1215 Hightower Trl
Ste D102
Sandy Springs, GA 30350
Phone (678) 444-4505

Practitioners & affiliated clinicians

Practitioners 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1508271024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 HIDDEN SPRINGS WALK SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824254",
            "telephone_number": "678-444-4505",
            "fax_number": "678-606-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 POWDER SPRINGS ST STE 240A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643499",
            "telephone_number": "678-444-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4006 Holcomb Bridge Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Peachtree Corners",
            "state": "GA",
            "postal_code": "300921814",
            "country_code": "US",
            "telephone_number": "678-444-4505",
            "fax_number": "678-606-9316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Hightower Trl Ste D102",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303506207",
            "country_code": "US",
            "telephone_number": "678-444-4505",
            "fax_number": "678-606-9316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-444-4505"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.