Organization Active NPI

Greatest Minds Counseling Center, LLC

  • Mental Health Counselor
  • Decatur, GA
National Provider Identifier
1639679061
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GREATEST MINDS COUNSELING CENTER, LLC
Practice address
3590 Covington Hwy
Decatur, GA 30032
Phone
(678) 396-9083
NPI assigned
Feb 12, 2018
Last updated
Jun 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Tierraus Colquitt Sr.
Title
Owner
Phone
(404) 433-3385

Specialties & licenses 1

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

Addresses

Primary practice location

3590 Covington Hwy
Decatur, GA 30032

Mailing address

150 Greenwich Dr
Covington, GA 30016-6510

Other practice location 1

5526 Flat Shoals Pkwy Ste B
Decatur, GA 30034-5430
Phone (678) 396-9083

National Provider Directory

National Provider Directory

Locations

3590 Covington Hwy
Decatur, GA 30032
Phone (404) 687-9188

5526 Flat Shoals Pkwy
Ste B
Decatur, GA 30034
Phone (678) 396-9083

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1639679061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GREENWICH DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300166510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 COVINGTON HWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30032",
            "telephone_number": "678-396-9083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5526 Flat Shoals Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300345430",
            "country_code": "US",
            "telephone_number": "678-396-9083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREATEST MINDS COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "COLQUITT",
        "authorized_official_first_name": "TIERRAUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-433-3385",
        "authorized_official_name_suffix": "Sr."
    },
    "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 Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.