Covenant Youth Empowerment LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COVENANT YOUTH EMPOWERMENT LLC

Practice address

1806 Chedworth LN
Stone Mountain, GA 30087-2118

Phone

(404) 403-1253

NPI assigned

Sep 22, 2008

Last updated

Aug 23, 2013By 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. Steven Roche Jr., BACHELOR DEGREE

Title

Administrator

Phone

(404) 403-1253

Specialties & licenses 3

Addresses

Locations

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.

• Byron Taylor Barnes, LPC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1346685369
  NPD (past)

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1811147309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 CHEDWORTH LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872118",
            "telephone_number": "404-403-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 CHEDWORTH LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872118",
            "telephone_number": "404-403-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT YOUTH EMPOWERMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-22",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-403-1253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BACHELOR DEGREE"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward A Corkran, D.O.
• Ray Cornay, D.M.D.
• Costco Wholesale Corporation (Costco Hearing Aid #1769)
• Costco Wholesale Corporation (Costco Optical #1769)
• Costco Wholesale Corporation (Costco Pharmacy #1769)
• Trenese Cox, LPN
• Cplace Stone Mountain SNF LLC (Rosemont at Stone Mountain)
• Creating Sustaining Joy LLC
• Creative Connections Comprehensive Services, LLC
• Creative Solutions

• Mental Health Counselor in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.