Organization Active NPI

Calm Waters Counseling LLC

  • Professional Counselor
  • Cumming, GA
National Provider Identifier
1811624273
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CALM WATERS COUNSELING LLC
Practice address
4605 Orchard Ridge CT
Cumming, GA 30028-6977
Phone
(404) 919-7334
NPI assigned
Aug 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Lynette Clark
Title
Credentialing
Phone
(770) 339-7667

Specialties & licenses 1

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

Addresses

Primary practice location

4605 Orchard Ridge CT
Cumming, GA 30028-6977

Mailing address

4605 Orchard Ridge CT
Cumming, GA 30028-6977
Phone (404) 919-7334

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1811624273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 ORCHARD RIDGE CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286977",
            "telephone_number": "404-919-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 ORCHARD RIDGE CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300286977",
            "telephone_number": "404-919-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALM WATERS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "770-339-7667"
    },
    "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 Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.