Northwest Georgia Behavioral Health

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC03999 Issued in GA

Legal business name

NORTHWEST GEORGIA BEHAVIORAL HEALTH

Doing business as

Nwgbh

Practice address

5150 Stilesboro Rd NW
Suite 430
Kennesaw, GA 30152-7744

Phone

(770) 712-0878

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Glen Barden, M.A.NPI 1770981870

Title

Owner

Phone

(770) 712-0878

Specialties & licenses 1

Addresses

Other names 1

• NWGBH Doing business as

Locations

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.

• Glen Norman Barden, M.A., LAPC

  • Mental Health Counselor
  • Acworth, GA
  • NPI 1770981870
  Authorized official Same address or phone

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1699178301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 STILESBORO RD. NW",
            "address_2": "SUITE 430",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30152",
            "telephone_number": "770-712-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 STILESBORO RD NW",
            "address_2": "SUITE 430",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527744",
            "telephone_number": "770-712-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST GEORGIA BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "BARDEN",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-712-0878",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC03999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NWGBH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Georgia Recovery Center LLC
• North Roberts Road Dental Group
• Northland Hearing Center, Inc. (NuEar)
• Northwest Allied Anesthesia Inc
• Northwest Classical Academy
• Melissa Millsap Norton, CRNA
• Torrey M Notestine
• Novara Integrative Psychiatry LLC
• Nzota Pelagie Nsona Koyagialo, MD
• NTN Healthcare Resources LLC

• Professional Counselor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.