Organization Active NPI

Justin Time Counseling and Coaching, LLC

  • Mental Health Counselor
  • Marietta, GA
National Provider Identifier
1619500675
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JUSTIN TIME COUNSELING AND COACHING, LLC
Practice address
120 S Park SQ NE Ste 203
Marietta, GA 30060-8631
Phone
(707) 325-2273
NPI assigned
Feb 18, 2020
Last updated
Feb 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Lorraine Brogdon-Harris, LPCNPI 1295023265
Title
Owner/Therapist
Phone
(770) 325-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

120 S Park SQ NE Ste 203
Marietta, GA 30060-8631

Mailing address

2886 Sandy Plains Rd # 965082
Marietta, GA 30066-9998
Phone (770) 325-2273

National Provider Directory

National Provider Directory

Locations

2886 Sandy Plains Rd
Unit 965082
Marietta, GA 30066

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": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1619500675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 SANDY PLAINS RD # 965082",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300669998",
            "telephone_number": "770-325-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S PARK SQ NE STE 203",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608631",
            "telephone_number": "707-325-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN TIME COUNSELING AND COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "BROGDON-HARRIS",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "770-325-2273",
        "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": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.