Active NPI
Perseverance Counseling, LLC
- Mental Health Counselor
- Mableton, GA
National Provider Identifier
1578195442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PERSEVERANCE COUNSELING, LLC
- Practice address
- 5701 Mableton Pkwy SW Ste 202
Mableton, GA 30126-3364 - Phone
- (678) 994-3092
- Fax
- (866) 473-0408
- NPI assigned
- Feb 10, 2020
- 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
- Mr. Ronterius Sanders, LPC
- Title
- Owner
- Phone
- (678) 994-3092
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5701 Mableton Pkwy SW Ste 202
Mableton, GA 30126-3364
Mailing address
5701 Mableton Pkwy SW Ste 202
Mableton, GA 30126-3364
Phone (678) 994-3092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811342538 | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@perseverancecounseling.org |
National Provider Directory
National Provider DirectoryLocations
5701 Mableton Pkwy SW
Ste 202
Mableton, GA 30126
Phone (678) 439-5854
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Atlanta, GA
- NPI 1811342538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581292800000",
"number": "1578195442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 MABLETON PKWY SW STE 202",
"city": "MABLETON",
"state": "GA",
"postal_code": "301263364",
"telephone_number": "678-994-3092",
"fax_number": "866-473-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 MABLETON PKWY SW STE 202",
"city": "MABLETON",
"state": "GA",
"postal_code": "301263364",
"telephone_number": "678-994-3092",
"fax_number": "866-473-0408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSEVERANCE COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-10",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "RONTERIUS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-994-3092",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811342538",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@perseverancecounseling.org",
"affiliation": "N",
"address_1": "5701 Mableton Pkwy SW Ste 202",
"city": "Mableton",
"state": "GA",
"country_code": "US",
"postal_code": "301263364",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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- Phlebo on the Go LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.