NPIMap

Organization Active NPI

Informed Group Enterprises LLC

  • Mental Health Counselor
  • Douglasville, GA
National Provider Identifier
1649515826
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC002580 Issued in GA
Legal business name
INFORMED GROUP ENTERPRISES LLC
Practice address
8307 Office Park Dr
Suite D/E
Douglasville, GA 30134-6935
Phone
(678) 315-2929
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Mr. Chris Raines
Title
Owner/Ceo
Phone
(770) 298-5094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X LPC002580 GA Primary

Addresses

Primary practice location

8307 Office Park Dr
Suite D/E
Douglasville, GA 30134-6935

Mailing address

8307 Office Park Dr
Suite D/E
Douglasville, GA 30134-6935
Phone (678) 315-2929

National Provider Directory

National Provider Directory
Tax ID family
Informed Group Enterprises2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8307 Office Park Dr
Ste De
Douglasville, GA 30134
Phone (678) 315-2929

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1649515826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 OFFICE PARK DR",
            "address_2": "SUITE D/E",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346935",
            "telephone_number": "678-315-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 OFFICE PARK DR",
            "address_2": "SUITE D/E",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346935",
            "telephone_number": "678-315-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFORMED GROUP ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "770-298-5094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC002580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.