Organization Active NPI

Orion Psychotherapy, LLC

  • Public Health or Welfare Agency
  • Decatur, GA
National Provider Identifier
1629434758
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
LPC008576 Issued in GA
Legal business name
ORION PSYCHOTHERAPY, LLC
Practice address
317 W Hill St
Decatur, GA 30030-4367
Phone
(404) 500-6102
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Bryan Casey Crook, M.A. LPC
Title
Psychotherapist
Phone
(404) 500-6102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X LPC008576 GA Primary

Addresses

Primary practice location

317 W Hill St
Decatur, GA 30030-4367

Mailing address

988 Woodbourne Dr SW
Atlanta, GA 30310-4606

National Provider Directory

National Provider Directory

Locations

317 W Hill St
Decatur, GA 30030
Phone (404) 482-2048

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1629434758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 WOODBOURNE DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303104606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W HILL ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304367",
            "telephone_number": "404-500-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORION PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "CROOK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "CASEY",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "404-500-6102",
        "authorized_official_credential": "M.A. LPC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": "LPC008576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.