Organization Active NPI

New Avenues Assessment Counseling Center

  • Professional Counselor
  • Conyers, GA
National Provider Identifier
1710703178
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
NEW AVENUES ASSESSMENT COUNSELING CENTER
Practice address
1805 Over Lake Dr SE Ste D
Conyers, GA 30013-1790
Phone
(678) 982-4046
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
La Troll Thomas, LPC, RPT, MACNPI 1487803037
Title
Ceo
Phone
(678) 982-4046

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1805 Over Lake Dr SE Ste D
Conyers, GA 30013-1790

Mailing address

PO Box 269
Porterdale, GA 30070-0269
Phone (678) 982-4046

National Provider Directory

National Provider Directory

Locations

1805 Over Lake Dr SE
Ste D
Conyers, GA 30013
Phone (678) 982-4046

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": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1710703178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "PORTERDALE",
            "state": "GA",
            "postal_code": "300700269",
            "telephone_number": "678-982-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 OVER LAKE DR SE STE D",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131790",
            "telephone_number": "678-982-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AVENUES ASSESSMENT COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LA TROLL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-982-4046",
        "authorized_official_credential": "LPC, RPT, MAC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.