Active NPI
Your Journey Counseling of Decatur, LLC
- Adult Mental Health Clinic/Center
- Decatur, GA
National Provider Identifier
1730645680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Heller Jr., LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Decatur, GA
- NPI 1528497989
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.