Organization Active NPI

Village Counseling Center

  • Mental Health Counselor
  • Cohutta, GA
National Provider Identifier
1609470665
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VILLAGE COUNSELING CENTER
Practice address
4000 Keith Valley Rd
Cohutta, GA 30710-7767
Phone
(423) 255-4367
NPI assigned
Nov 30, 2020
Last updated
Nov 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Acea Starks, LPCNPI 1043621725
Title
LPC / Owner
Phone
(423) 255-4367

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

4000 Keith Valley Rd
Cohutta, GA 30710-7767

Mailing address

4000 Keith Valley Rd
Cohutta, GA 30710-7767
Phone (423) 255-4367

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://doxy.me/AceaStarks

National Provider Directory

National Provider Directory

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": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1609470665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 KEITH VALLEY RD",
            "city": "COHUTTA",
            "state": "GA",
            "postal_code": "307107767",
            "telephone_number": "423-255-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 KEITH VALLEY RD",
            "city": "COHUTTA",
            "state": "GA",
            "postal_code": "307107767",
            "telephone_number": "423-255-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "ACEA",
        "authorized_official_title_or_position": "LPC / OWNER",
        "authorized_official_telephone_number": "423-255-4367",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://doxy.me/AceaStarks",
            "affiliation": "N",
            "address_1": "4000 Keith Valley Rd",
            "city": "Cohutta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307107767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cohutta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.