Organization Active NPI

Landmark Counseling LLC

  • Counselor
  • Buchanan, GA
National Provider Identifier
1699539304
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
LANDMARK COUNSELING LLC
Practice address
871 Seabreeze Lake Rd
Buchanan, GA 30113-4474
Phone
(909) 316-8813
Fax
(909) 751-1145
NPI assigned
Feb 13, 2024
Last updated
Feb 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Mrs. Tokunbo Tocee Shokunbi Harmon, MDNPI 1396415659
Title
Ceo
Phone
(404) 610-6362

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

871 Seabreeze Lake Rd
Buchanan, GA 30113-4474

Mailing address

871 Seabreeze Lake Rd
Buchanan, GA 30113-4474
Phone (909) 316-8813

Other identifiers 1

IdentifierTypeStateIssuer
1396415659MedicaidGA

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, 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": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1699539304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 SEABREEZE LAKE RD",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134474",
            "telephone_number": "909-316-8813",
            "fax_number": "909-751-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 SEABREEZE LAKE RD",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134474",
            "telephone_number": "909-316-8813",
            "fax_number": "909-751-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "SHOKUNBI HARMON",
        "authorized_official_first_name": "TOKUNBO",
        "authorized_official_middle_name": "TOCEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-610-6362",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396415659",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buchanan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.