Organization Active NPI

C & a Counseling LLLP

  • Mental Health Counselor
  • Tucker, GA
National Provider Identifier
1649722794
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW004895 Issued in GA
Legal business name
C & A COUNSELING LLLP
Practice address
2323 Main St Ste B-1
Tucker, GA 30084-8522
Phone
(404) 643-3593
NPI assigned
Oct 25, 2016
Last updated
Oct 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Mrs. Ashley Skidmore, LCSWNPI 1558705541
Title
Licensed Clinical Social Worker
Phone
(404) 643-3593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CSW004895 GA Primary

Addresses

Primary practice location

2323 Main St Ste B-1
Tucker, GA 30084-8522

Mailing address

2323 Main St Ste B-1
Tucker, GA 30084-8522
Phone (404) 643-3593

National Provider Directory

National Provider Directory

Locations

2323 Main St
Ste B1
Tucker, GA 30084
Phone (404) 643-3593

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1649722794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 MAIN ST STE B-1",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848522",
            "telephone_number": "404-643-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 MAIN ST STE B-1",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848522",
            "telephone_number": "404-643-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & A COUNSELING LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "SKIDMORE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "404-643-3593",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW004895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.