Organization Active NPI

Positive Influences Counseling LLC

  • Mental Health Counselor
  • Lawrenceville, GA
National Provider Identifier
1508482993
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
POSITIVE INFLUENCES COUNSELING LLC
Practice address
195 W Pike St Ste 104
Lawrenceville, GA 30046-4966
Phone
(404) 436-6664
Fax
(678) 804-4708
NPI assigned
Jun 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Authorized official

Name
Mrs. Marshalee Notaya Jackson, LPCNPI 1336619691
Title
Licensed Professional Counselor
Phone
(678) 770-6034

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

195 W Pike St Ste 104
Lawrenceville, GA 30046-4966

Mailing address

195 W Pike St Ste 104
Lawrenceville, GA 30046-4966
Phone (678) 770-6034

National Provider Directory

National Provider Directory

Locations

1585 Old Norcross Rd
Ste 204B
Lawrenceville, GA 30046
Phone (610) 762-6563

195 W Pike St
Ste 104
Lawrenceville, GA 30046
Phone (404) 436-6664

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": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1508482993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 W PIKE ST STE 104",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464966",
            "telephone_number": "678-770-6034",
            "fax_number": "678-804-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W PIKE ST STE 104",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464966",
            "telephone_number": "404-436-6664",
            "fax_number": "678-804-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE INFLUENCES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARSHALEE",
        "authorized_official_middle_name": "NOTAYA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "678-770-6034",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.