New Beginnings Behavioral Counseling,LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005991 Issued in GA

Legal business name

NEW BEGINNINGS BEHAVIORAL COUNSELING,LLC

Practice address

9456 S Main St Ste E2
Jonesboro, GA 30236

Phone

(229) 726-6130

Fax

(678) 759-8029

NPI assigned

Jun 13, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Carla Denise Potts, LCSWNPI 1932464658

Title

Owner

Phone

(229) 726-6130

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NEW BEGINNINGS BEHAVIORAL COUNSELING,LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Denise Potts, LCSW

  • Clinical Social Worker
  • Dublin, GA
  • NPI 1932464658
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1639609555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 681",
            "city": "LOVE JOY",
            "state": "GA",
            "postal_code": "302509998",
            "telephone_number": "229-449-8977",
            "fax_number": "678-759-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9456 S MAIN ST STE E2",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "30236",
            "telephone_number": "229-726-6130",
            "fax_number": "678-759-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEGINNINGS BEHAVIORAL COUNSELING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2024-03-29",
        "certification_date": "2021-09-19",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-726-6130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639609555",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932464658",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW BEGINNINGS BEHAVIORAL COUNSELING,LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEW BEGINNINGS BEHAVIORAL COUNSELING,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Social Worker in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.