NPIMap

Organization Active NPI

Intown Child Therapy

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1801136742
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
INTOWN CHILD THERAPY
Practice address
464 Cherokee Ave SE
Ste 202
Atlanta, GA 30312-3260
Phone
(404) 919-9975
NPI assigned
Feb 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Elizabeth J Rousso, LPC
Title
Owner
Phone
(404) 919-9975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

464 Cherokee Ave SE
Ste 202
Atlanta, GA 30312-3260

Mailing address

339 Brooks Ave NE
Atlanta, GA 30307-2141
Phone (404) 919-9975

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1801136742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 BROOKS AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072141",
            "telephone_number": "404-919-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 CHEROKEE AVE SE",
            "address_2": "STE 202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123260",
            "telephone_number": "404-919-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTOWN CHILD THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "ROUSSO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-919-9975",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.