Main Element Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MAIN ELEMENT COUNSELING

Practice address

24 American Walk
Peachtree City, GA 30269-5600

Phone

(484) 459-6813

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By 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

Shaun Lewis, LPCNPI 1346638673

Title

Owner

Phone

(484) 459-6813

Specialties & licenses 1

Addresses

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.

• Shaun B Lewis, LPC

  • Professional Counselor
  • Marietta, GA
  • NPI 1346638673
  NPD Authorized official

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1831851831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 AMERICAN WALK",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302695600",
            "telephone_number": "484-459-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 AMERICAN WALK",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302695600",
            "telephone_number": "484-459-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN ELEMENT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-459-6813",
        "authorized_official_credential": "LPC"
    },
    "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 Oct 7, 2021; 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.