Organization Active NPI

Executive Presence Solutions

  • Professional Counselor
  • Brookhaven, GA
National Provider Identifier
1538865860
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EXECUTIVE PRESENCE SOLUTIONS
Practice address
2801 Buford Hwy NE Ste T80
Brookhaven, GA 30329-2147
Phone
(404) 430-0859
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Chad Husted, LPCNPI 1477268225
Title
Owner
Phone
(770) 639-9657

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2801 Buford Hwy NE Ste T80
Brookhaven, GA 30329-2147

Mailing address

2801 Buford Hwy NE Ste T80
Brookhaven, GA 30329-2147
Phone (404) 430-0859

Other practice location 1

750 Glenwood Ave SE Ste 210
Atlanta, GA 30316-2195
Phone (404) 430-0859

Other practice location 2

2801 Buford Hwy NE Ste 475
Brookhaven, GA 30329-2108
Phone (404) 430-0859

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240222000907 GA Part B Supplier - Clinic/Group Practice 9830533496 Receives reassigned benefits from 1 practitioner
Practice locations: Brookhaven, GA

National Provider Directory

National Provider Directory

Locations

2801 Buford Hwy NE
Ste T80
Brookhaven, GA 30329
Phone (404) 430-0859

2801 Buford Hwy NE
Ste 475
Brookhaven, GA 30329
Phone (404) 430-0859

Practitioners & affiliated clinicians

Practitioners 2

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": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1538865860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE STE T80",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292147",
            "telephone_number": "404-430-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE STE T80",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292147",
            "telephone_number": "404-430-0859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Glenwood Ave SE Ste 210",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303162195",
            "country_code": "US",
            "telephone_number": "404-430-0859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 Buford Hwy NE Ste 475",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303292108",
            "country_code": "US",
            "telephone_number": "404-430-0859",
            "fax_number": "404-430-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXECUTIVE PRESENCE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "HUSTED",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-639-9657",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.