NPIMap

Organization Active NPI

Sheltered Cove Counseling Center Inc

  • Professional Counselor
  • Douglasville, GA
National Provider Identifier
1730224874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SHELTERED COVE COUNSELING CENTER INC
Practice address
6488 Spring St Ste 102
Douglasville, GA 30134-1895
Phone
(770) 949-1595
Fax
(770) 489-7521
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Rene Klinger, LPCNPI 1801930664
Title
Owner Therapist
Phone
(770) 949-1595

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 GA Primary

Addresses

Primary practice location

6488 Spring St Ste 102
Douglasville, GA 30134-1895

Mailing address

6488 Spring St Ste 102
Douglasville, GA 30134-1895
Phone (770) 949-1595

National Provider Directory

National Provider Directory

Locations

6488 Spring St
Ste 102
Douglasville, GA 30134
Phone (770) 949-1595

Practitioners & affiliated clinicians

Practitioners 6

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730224874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6488 SPRING ST STE 102",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341895",
            "telephone_number": "770-949-1595",
            "fax_number": "770-489-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6488 SPRING ST STE 102",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341895",
            "telephone_number": "770-949-1595",
            "fax_number": "770-489-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTERED COVE COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLINGER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "770-949-1595",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.