Atlas Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004741 Issued in NC

Legal business name

ATLAS COUNSELING PLLC

Practice address

816 Brawley School Rd Ste F
4
Mooresville, NC 28117-6201

Phone

(704) 658-9676

Fax

(704) 799-3258

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn S Atlas, LCSW

Title

Manager Psychotherapist

Phone

(704) 658-9676

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1538369442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 BRAWLEY SCHOOL RD STE F",
            "address_2": "4",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176201",
            "telephone_number": "704-658-9676",
            "fax_number": "704-799-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 BRAWLEY SCHOOL RD STE F",
            "address_2": "4",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176201",
            "telephone_number": "704-658-9676",
            "fax_number": "704-799-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "ATLAS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "704-658-9676",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106455",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "143NJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.