Alpharetta/Johns Creek Counseling for Children and Adults

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT001278 Issued in GA

Legal business name

ALPHARETTA/JOHNS CREEK COUNSELING FOR CHILDREN AND ADULTS

Practice address

400 Prospect PL
Alpharetta, GA 30005-5468

Phone

(404) 834-2363

Fax

(866) 422-4042

NPI assigned

Jan 4, 2017

Organization subpart

No

Name

Mrs. Erica Ann Gregory, LMFT

Title

Owner/Clinical Director

Phone

(404) 834-2363

• Johns Creek & Alpharetta Counseling for Children and Adults Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2017.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1760927503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PROSPECT PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055468",
            "telephone_number": "404-834-2363",
            "fax_number": "866-422-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PROSPECT PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055468",
            "telephone_number": "404-834-2363",
            "fax_number": "866-422-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHARETTA/JOHNS CREEK COUNSELING FOR CHILDREN AND ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "404-834-2363",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "101YA0400X",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "101Y00000X",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008501",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "AMFT001278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548503428",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johns Creek & Alpharetta Counseling for Children and Adults",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Alpharetta, GA
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.