Organization Active NPI

Your Journey Counseling of Decatur, LLC

  • Adult Mental Health Clinic/Center
  • Decatur, GA
National Provider Identifier
1730645680
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
YOUR JOURNEY COUNSELING OF DECATUR, LLC
Practice address
108 E Ponce de Leon Ave Ste 206
Decatur, GA 30030-2512
Phone
(678) 636-9761
NPI assigned
Feb 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Authorized official

Name
Robert Heller Jr., LPCNPI 1528497989
Title
Owner
Phone
(404) 786-2013

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

108 E Ponce de Leon Ave Ste 206
Decatur, GA 30030-2512

Mailing address

2220 Ringsmith Dr NE
Atlanta, GA 30345-3619
Phone (404) 786-2013

Other names 1

  • Rob Heller, LPC Doing business as

National Provider Directory

National Provider Directory

Locations

108 E Ponce de Leon Ave
Ste 206
Decatur, GA 30030
Phone (678) 636-9761

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": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1730645680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 RINGSMITH DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453619",
            "telephone_number": "404-786-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E PONCE DE LEON AVE STE 206",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302512",
            "telephone_number": "678-636-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR JOURNEY COUNSELING OF DECATUR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-786-2013",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rob Heller, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.