Recovery LGBT Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RECOVERY LGBT COUNSELING LLC

Practice address

2750 Heritage Manor Walk
Decatur, GA 30034-1002

Phone

(404) 317-9566

NPI assigned

Sep 4, 2023

Organization subpart

No

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

Authorized official

Name

JD Weidner, PH.D.NPI 1669623799

Title

Ceo

Phone

(404) 317-9566

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.

• J.D. Weidner, PH.D.

  • Mental Health Counselor
  • Decatur, GA
  • NPI 1669623799
  NPD Authorized official

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1851177109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 HERITAGE MANOR WALK",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341002",
            "telephone_number": "404-317-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 HERITAGE MANOR WALK",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341002",
            "telephone_number": "404-317-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY LGBT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "WEIDNER",
        "authorized_official_first_name": "JD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-317-9566",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Realize Life Coaching, LLC
• Cheryl Rease
• Katharine Perry Rebillot, PA-C
• Rebyrth Wellness LLC (Metro Atlanta Perinatal Therapy and Wellness Collective)
• Recovery Consultants of Atlanta, Inc. (Unity Health Systems of Georgia)
• Recovery LGBT Inc.
• Redbud Counseling Services LLC
• Amy Elizabeth Redd, PSY.D.
• Amita Reddy
• Keerthi Dasari Reddy

• Mental Health Counselor in Decatur, GA
• Providers in Decatur, 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 Nov 21, 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.