NPIMap

Organization Active NPI

Etowahcs, LLC

  • Professional Counselor
  • Cartersville, GA
National Provider Identifier
1669064390
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ETOWAHCS, LLC
Practice address
200 Leake St Ste 106
Cartersville, GA 30120-3562
Phone
(770) 615-0218
NPI assigned
Feb 4, 2021
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Christopher M BrutonNPI 1386042547
Title
Owner
Phone
(678) 986-0453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

200 Leake St Ste 106
Cartersville, GA 30120-3562

Mailing address

200 Leake St Ste 106
Cartersville, GA 30120-3562
Phone (770) 615-0218

Other identifiers 1

IdentifierTypeStateIssuer
003229752AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drbruton@brutoncs.com

National Provider Directory

National Provider Directory

Locations

200 Leake St
Ste 106
Cartersville, GA 30120
Phone (470) 433-5048

141 N Main St
Cleveland, GA 30528

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1669064390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LEAKE ST STE 106",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203562",
            "telephone_number": "770-615-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LEAKE ST STE 106",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203562",
            "telephone_number": "770-615-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETOWAHCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2023-09-06",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "BRUTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-986-0453"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003229752A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbruton@brutoncs.com",
            "affiliation": "N",
            "address_1": "200 Leake St Ste 106",
            "city": "Cartersville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301203562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.