Compassionate Care Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC0001794 Issued in GA

Legal business name

COMPASSIONATE CARE COUNSELING SERVICES

Practice address

4343 Shallowford Rd Ste H1B
Marietta, GA 30062-5025

Phone

(404) 783-7086

NPI assigned

Jan 18, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Elana Michele Klemm, LPC, NCC

Title

Counselor/Director

Phone

(404) 783-7086

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1548778095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD STE H1B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625025",
            "telephone_number": "404-783-7086",
            "fax_number": "404-783-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD STE H1B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625025",
            "telephone_number": "404-783-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "KLEMM",
        "authorized_official_first_name": "ELANA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "COUNSELOR/DIRECTOR",
        "authorized_official_telephone_number": "404-783-7086",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC0001794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.