Indigo Therapy and Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INDIGO THERAPY AND WELLNESS

Practice address

1301 Shiloh Rd NW Ste 710
Kennesaw, GA 30144-7157

Phone

(404) 514-0089

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Cole Wright

Title

Office Manager

Phone

(404) 514-0089

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Alexis Wright, MFT

  • Marriage & Family Therapist
  • Kennesaw, GA
  • NPI 1790305118

  Mental Health

  NPD
• Summer Marie Curran, LPC

  • Mental Health Counselor
  • Kennesaw, GA
  • NPI 1689335994
  NPD (past)

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1790466795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 710",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447157",
            "telephone_number": "404-514-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 710",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447157",
            "telephone_number": "404-514-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO THERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "COLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-514-0089",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.