Organization Active NPI

Perseverance Counseling, LLC

  • Mental Health Counselor
  • Mableton, GA
National Provider Identifier
1578195442
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Mr. Ronterius Sanders, LPCNPI 1811342538
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1811342538MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@perseverancecounseling.org

National Provider Directory

National Provider Directory

Locations

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.

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": []
}

Other providers in Mableton, GA

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.

Verify at the official NPI Registry.