Organization Active NPI

Elle Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Decatur, GA
National Provider Identifier
1548778194
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ELLE COUNSELING, LLC
Doing business as
Elle Counseling, LLC
Practice address
315 W Ponce de Leon Ave Ste 980
Decatur, GA 30030-2478
Phone
(678) 643-1786
NPI assigned
Jan 17, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Michelle K Lyn, PHDNPI 1073841862
Title
Founder
Phone
(678) 200-7652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X GA Primary

Addresses

Primary practice location

315 W Ponce de Leon Ave Ste 980
Decatur, GA 30030-2478

Mailing address

315 W Ponce de Leon Ave Ste 980
Decatur, GA 30030-2478

Other identifiers 1

IdentifierTypeStateIssuer
003133946BMedicaidGA

Other names 1

  • Elle Counseling, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

315 W Ponce de Leon Ave
Ste 980
Decatur, GA 30030
Phone (404) 906-5330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1548778194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 980",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 980",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302478",
            "telephone_number": "678-643-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LYN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "678-200-7652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003133946B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elle Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.