Organization Active NPI

Elitejourney LLC

  • Mental Health Counselor
  • Douglasville, GA
National Provider Identifier
1598170060
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC007682 Issued in GA
Legal business name
ELITEJOURNEY LLC
Practice address
4040 Chapel Hill Rd
Suite Q
Douglasville, GA 30135-2761
Phone
(404) 981-2863
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Chrishina ScottNPI 1982949384
Title
Owner
Phone
(404) 981-2863

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 Counselor 101YM0800X LPC007682 GA Primary

Addresses

Primary practice location

4040 Chapel Hill Rd
Suite Q
Douglasville, GA 30135-2761

Mailing address

7421 Douglas Blvd
Suite 327
Douglasville, GA 30135-1564
Phone (404) 981-2863

National Provider Directory

National Provider Directory

Locations

7421 Douglas Blvd
Ste 327
Douglasville, GA 30135

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.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1598170060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 DOUGLAS BLVD",
            "address_2": "SUITE 327",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351564",
            "telephone_number": "404-981-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 CHAPEL HILL RD",
            "address_2": "SUITE Q",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352761",
            "telephone_number": "404-981-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITEJOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CHRISHINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-981-2863"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.