Organization Active NPI

Your Therapist Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Athens, GA
National Provider Identifier
1679161194
Registry record updated Jan 10, 2021
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
YOUR THERAPIST COUNSELING SERVICES
Practice address
201 Linda Ave
Athens, GA 30601-1168
Phone
(706) 903-9031
NPI assigned
Jan 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Authorized official

Name
Shay Sims
Title
Office Coordinator
Phone
(706) 903-9031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

201 Linda Ave
Athens, GA 30601-1168

Mailing address

201 Linda Ave
Athens, GA 30601-1168
Phone (803) 397-7088

Other identifiers 1

IdentifierTypeStateIssuer
0000000000OtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kiki@iamyourtherapist.com Direct

National Provider Directory

National Provider Directory

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": "1610236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610236800000",
    "number": "1679161194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LINDA AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011168",
            "telephone_number": "803-397-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LINDA AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011168",
            "telephone_number": "706-903-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR THERAPIST COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "SHAY",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "706-903-9031"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "0000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kiki@iamyourtherapist.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 Linda Ave",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306011168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.