The Mentalists Group LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009363 Issued in GA

Legal business name

THE MENTALISTS GROUP LLC

Practice address

124 S Main St Ste 2D
Jonesboro, GA 30236-3502

Phone

(404) 664-5970

NPI assigned

May 20, 2017

Last updated

May 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Darnell Phillips, LPCNPI 1942611348

Title

Clinical Director / Owner

Phone

(615) 414-5050

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Darnell Phillips, MS, L.P.C

  • Professional Counselor
  • Atlanta, GA
  • NPI 1942611348
  NPD Authorized official

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

{
    "created_epoch": "1495238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495238400000",
    "number": "1730616798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST STE 2D",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST STE 2D",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363502",
            "telephone_number": "404-664-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENTALISTS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-20",
        "last_updated": "2017-05-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DARNELL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "615-414-5050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "009363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003188124A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2017; 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.