NPIMap

Organization Active NPI

Infinite Possibilities Psychotherapy Services, LLC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1619692852
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INFINITE POSSIBILITIES PSYCHOTHERAPY SERVICES, LLC
Practice address
875 Franklin Gtwy SE Apt 1526
Marietta, GA 30067-7967
Phone
(404) 590-1119
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Mr. Tony Jenkins, LPC, CPCSNPI 1316420441
Title
Owner
Phone
(404) 590-1119

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

875 Franklin Gtwy SE Apt 1526
Marietta, GA 30067-7967

Mailing address

875 Franklin Gtwy SE Apt 1526
Marietta, GA 30067-7967
Phone (404) 590-1119

Other identifiers 1

IdentifierTypeStateIssuer
1316420441MedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tony.jenkins.ipp@gmail.com Health Information Exchange (HIE)

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.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1619692852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 FRANKLIN GTWY SE APT 1526",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677967",
            "telephone_number": "404-590-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 FRANKLIN GTWY SE APT 1526",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677967",
            "telephone_number": "404-590-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE POSSIBILITIES PSYCHOTHERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-590-1119",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, CPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316420441",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tony.jenkins.ipp@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "875 Franklin Gtwy SE Apt 1526",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300677967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 10, 2022; 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.