NPIMap

Organization Active NPI

Gwinnett Comprehensive Counseling LLC

  • Professional Counselor
  • Lawrenceville, GA
National Provider Identifier
1720461973
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004369 Issued in GA
Legal business name
GWINNETT COMPREHENSIVE COUNSELING LLC
Practice address
220 W Crogan St
Ste a
Lawrenceville, GA 30046-3238
Phone
(678) 386-1895
Fax
(678) 623-8300
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Kim Brooks, LPCNPI 1053795989
Title
Owner
Phone
(678) 386-1895

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 LPC004369 GA Primary

Addresses

Primary practice location

220 W Crogan St
Ste a
Lawrenceville, GA 30046-3238

Mailing address

PO Box 1654
Lawrenceville, GA 30046-1654
Phone (678) 386-1895

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": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1720461973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1654",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300461654",
            "telephone_number": "678-386-1895",
            "fax_number": "678-623-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W CROGAN ST",
            "address_2": "STE A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463238",
            "telephone_number": "678-386-1895",
            "fax_number": "678-623-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT COMPREHENSIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-386-1895",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.