Active NPI
Elle Counseling, LLC
- Adult Mental Health Clinic/Center
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michelle K Lyn, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003133946B | Medicaid | GA |
Other names 1
- Elle Counseling, LLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Counseling Psychologist
- Decatur, GA
- NPI 1073841862
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.