NPIMap

Organization Active NPI

Edith's Counseling

  • Community/Behavioral Health Agency
  • Conyers, GA
National Provider Identifier
1760853576
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC008575 Issued in GA
Legal business name
EDITH'S COUNSELING
Practice address
1226 Royal Dr SW
Suite 100
Conyers, GA 30094-5925
Phone
(678) 571-0937
NPI assigned
Oct 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Johnnetta Collins, LPCNPI 1215308127
Title
Counselor
Phone
(678) 571-0937

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
Community/Behavioral Health Agency 251S00000X LPC008575 GA Primary

Addresses

Primary practice location

1226 Royal Dr SW
Suite 100
Conyers, GA 30094-5925

Mailing address

1226 Royal Dr SW
Suite 100
Conyers, GA 30094-5925
Phone (678) 571-0937

National Provider Directory

National Provider Directory

Locations

1226 Royal Dr SW
Ste 100
Conyers, GA 30094
Phone (678) 571-0937

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": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1760853576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 ROYAL DR SW",
            "address_2": "SUITE 100",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945925",
            "telephone_number": "678-571-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 ROYAL DR SW",
            "address_2": "SUITE 100",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945925",
            "telephone_number": "678-571-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDITH'S COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JOHNNETTA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "678-571-0937",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC008575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.