Black Gem Solutions

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BLACK GEM SOLUTIONS

Practice address

1 W Court SQ Ste 750
Decatur, GA 30030-2545

Phone

(404) 494-7700

NPI assigned

Feb 11, 2021

Last updated

Feb 11, 2021By 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

Mr. Kendall Kip Sentimore, LCSW

Title

LCSW/Therapist

Phone

(404) 494-7700

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1568055473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W COURT SQ STE 750",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302545",
            "telephone_number": "404-494-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W COURT SQ STE 750",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302545",
            "telephone_number": "404-494-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK GEM SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "SENTIMORE",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "KIP",
        "authorized_official_title_or_position": "LCSW/THERAPIST",
        "authorized_official_telephone_number": "404-494-7700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kipsentimore@outlook.com",
            "affiliation": "N",
            "address_1": "1 W Court Sq Ste 750",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300302545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.