NPIMap

Organization Active NPI

A Life's Journey, Inc.

  • Professional Counselor
  • Grayson, GA
National Provider Identifier
1740476589
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC003547 Issued in GA
Legal business name
A LIFE'S JOURNEY, INC.
Practice address
512 Grayson Pkwy
Grayson, GA 30017-1216
Phone
(404) 274-5209
Fax
(770) 818-5607
NPI assigned
Sep 14, 2007
Last updated
May 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Julie Shortridge, MA, LPC, NCCNPI 1609871631
Title
Owner/Therapist
Phone
(404) 274-5209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC003547 GA Primary

Addresses

Primary practice location

512 Grayson Pkwy
Grayson, GA 30017-1216

Mailing address

1810 Westwind Dr
Cumming, GA 30041-7298
Phone (404) 274-5209

Other names 1

  • Julie Shortridge Other name

National Provider Directory

National Provider Directory
Tax ID family
A Life's Journey Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

512 Grayson Pkwy
Grayson, GA 30017
Phone (404) 274-5209

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1740476589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WESTWIND DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417298",
            "telephone_number": "404-274-5209",
            "fax_number": "770-818-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 GRAYSON PKWY",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171216",
            "telephone_number": "404-274-5209",
            "fax_number": "770-818-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LIFE'S JOURNEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "SHORTRIDGE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "404-274-5209",
        "authorized_official_credential": "MA, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julie Shortridge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grayson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.