Organization Active NPI

Charis Counseling and Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Homer, GA
National Provider Identifier
1790507622
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CHARIS COUNSELING AND CONSULTING
Practice address
1246 Historic Homer Hwy
Homer, GA 30547-2737
Phone
(706) 702-1025
NPI assigned
Oct 30, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Jordan Keener, LPCNPI 1710679675
Title
Owner
Phone
(678) 936-2827

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1246 Historic Homer Hwy
Homer, GA 30547-2737

Mailing address

479 Highway 51 S
Homer, GA 30547-2534
Phone (678) 936-2827

National Provider Directory

National Provider Directory

Locations

1246 Historic Homer Hwy
Homer, GA 30547
Phone (706) 702-1025

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": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1790507622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 HIGHWAY 51 S",
            "city": "HOMER",
            "state": "GA",
            "postal_code": "305472534",
            "telephone_number": "678-936-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 HISTORIC HOMER HWY",
            "city": "HOMER",
            "state": "GA",
            "postal_code": "305472737",
            "telephone_number": "706-702-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIS COUNSELING AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "KEENER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-936-2827",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.