Organization Active NPI

Next Step Counseling, LLC

  • Community/Behavioral Health Agency
  • Fayetteville, GA
National Provider Identifier
1619416575
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5425 Issued in GA
Legal business name
NEXT STEP COUNSELING, LLC
Practice address
110 Habersham Dr
Suite 142
Fayetteville, GA 30214-1381
Phone
(770) 371-5057
Fax
(404) 537-1045
NPI assigned
Feb 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Dr. Keisha Latonya Pou, EDD
Title
Owner
Phone
(770) 371-5057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5425 GA Primary

Addresses

Primary practice location

110 Habersham Dr
Suite 142
Fayetteville, GA 30214-1381

Mailing address

110 Habersham Dr
Suite 142
Fayetteville, GA 30214-1381
Phone (770) 371-5057

Other identifiers 2

IdentifierTypeStateIssuer
1962671131OtherGANPI
384025512AMedicaidGA

Other names 1

  • Next Step Counseling & Assessments Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1619416575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HABERSHAM DR",
            "address_2": "SUITE 142",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141381",
            "telephone_number": "770-371-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HABERSHAM DR",
            "address_2": "SUITE 142",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141381",
            "telephone_number": "770-371-5057",
            "fax_number": "404-537-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT STEP COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "POU",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "LATONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-371-5057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "5425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962671131",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "384025512A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Next Step Counseling & Assessments",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.