Renewed Journey Counseling Services LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

38168 Issued in GA

Legal business name

RENEWED JOURNEY COUNSELING SERVICES LLC

Doing business as

Renewed Journey Counseling Svcs

Practice address

1479 Brockett Rd Ste 101
Tucker, GA 30084-7326

Phone

(404) 625-5427

Fax

(404) 508-8944

NPI assigned

Feb 4, 2008

Last updated

Jun 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Regina A Zabel, LCSW, ACSWNPI 1063530947

Title

Agency Director

Phone

(404) 625-5427

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Renewed Journey Counseling Svcs Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 5

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.

• Regina A Zabel, LCSW, ACSW

  • Clinical Social Worker
  • Tucker, GA
  • NPI 1063530947
  Medicare reassignment Care Compare group Authorized official
• Shawn Patrice Allen, M.D.

  • Psychiatry Physician
  • Tucker, GA
  • NPI 1437316635
  Medicare reassignment Care Compare group
• Karen Poynor, LPC, NCC

  • Professional Counselor
  • Tucker, GA
  • NPI 1457523771
  NPD (past)
• Sydnei Turner

  • Professional Counselor
  • Decatur, GA
  • NPI 1083310494
  NPD (past)
• Msichana McDole, LPC

  • Professional Counselor
  • Oklahoma City, OK
  • NPI 1396025243
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498262400000",
    "number": "1558549337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 BROCKETT RD STE 101",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847326",
            "telephone_number": "404-625-5427",
            "fax_number": "404-508-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 BROCKETT RD STE 101",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847326",
            "telephone_number": "404-625-5427",
            "fax_number": "404-508-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED JOURNEY COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2017-06-24",
        "status": "A",
        "authorized_official_last_name": "ZABEL",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "404-625-5427",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004100",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009457",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003689",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005067",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005765",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001073",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "38168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "747634110B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewed Journey Counseling Svcs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Tucker, GA
• Providers in Tucker, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2017; 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.