Organization Active NPI

Essential Counseling & Consulting Group, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • College Park, GA
National Provider Identifier
1669946943
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ESSENTIAL COUNSELING & CONSULTING GROUP, LLC
Practice address
4751 Best Rd Ste 400G
College Park, GA 30337-5609
Phone
(470) 645-2756
NPI assigned
Jan 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Pamela Deshawn Johnson, LPCNPI 1326314667
Title
Owner
Phone
(678) 570-7752

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

4751 Best Rd Ste 400G
College Park, GA 30337-5609

Mailing address

4751 Best Rd Ste 400G
College Park, GA 30337-5609
Phone (470) 645-2756

National Provider Directory

National Provider Directory

Locations

4751 Best Rd
Ste 400G
College Park, GA 30337
Phone (470) 645-2756

2700 Skyview Dr
Ste G
Lithia Springs, GA 30122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1669946943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4751 BEST RD STE 400G",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303375609",
            "telephone_number": "470-645-2756",
            "fax_number": "678-802-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 BEST RD STE 400G",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303375609",
            "telephone_number": "470-645-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL COUNSELING & CONSULTING GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-19",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DESHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-570-7752",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.