Active NPI
Greatest Minds Counseling Center, LLC
- Mental Health Counselor
- Decatur, GA
National Provider Identifier
1639679061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.