NPIMap

Organization Active NPI

Supportive Counseling & Consulting, LLC

  • Professional Counselor
  • East Point, GA
National Provider Identifier
1740600287
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006283 Issued in GA
Legal business name
SUPPORTIVE COUNSELING & CONSULTING, LLC
Practice address
3455 N Desert Dr
BLDG 3 Suite 101
East Point, GA 30344-5725
Phone
(678) 834-0880
Fax
(678) 834-0880
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Nineshia Mont-Reynaud, M.S., LPCNPI 1811156995
Title
Licensed Professional Counselor/Own
Phone
(678) 834-0880

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC006283 GA Primary

Addresses

Primary practice location

3455 N Desert Dr
BLDG 3 Suite 101
East Point, GA 30344-5725

Mailing address

3455 N Desert Dr
BLDG 3 Suite 101
East Point, GA 30344-5725
Phone (678) 834-0880

National Provider Directory

National Provider Directory

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": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1740600287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 N DESERT DR",
            "address_2": "BLDG 3 SUITE 101",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445725",
            "telephone_number": "678-834-0880",
            "fax_number": "678-834-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 N DESERT DR",
            "address_2": "BLDG 3 SUITE 101",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445725",
            "telephone_number": "678-834-0880",
            "fax_number": "678-834-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "MONT-REYNAUD",
        "authorized_official_first_name": "NINESHIA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR/OWN",
        "authorized_official_telephone_number": "678-834-0880",
        "authorized_official_credential": "M.S., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.