Active NPI
Purpose Community Therapeutic Services, LLC
- Professional Counselor
- Villa Rica, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002683
- Legal business name
- PURPOSE COMMUNITY THERAPEUTIC SERVICES, LLC
- Practice address
- 242 Fairfield Rd
Villa Rica, GA 30180-3804 - Phone
- (770) 280-7288
- Fax
- (770) 983-6098
- NPI assigned
- Mar 7, 2013
- Last updated
- Mar 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chantay Golson, LPC
- Title
- Ceo
- Phone
- (770) 280-7288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002683 | GA | Primary |
Addresses
Primary practice location
242 Fairfield Rd
Villa Rica, GA 30180-3804
Mailing address
3400 Chapel Hill Rd
Suite 216
Douglasville, GA 30135-1739
Phone (770) 280-7288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003126621A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Chantay Golson
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Purpose Community Therapeutic Services, LLC
- Professional Counselor
- Atlanta, GA
- NPI 1063751014
-
dba Purpose Community Therapeutic Services, LLC
- Professional Counselor
- Conyers, GA
- NPI 1700125754
Practitioners & affiliated clinicians
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.
-
- Professional Counselor
- Douglasville, GA
- NPI 1588924401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362614400000",
"number": "1851632376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CHAPEL HILL RD",
"address_2": "SUITE 216",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351739",
"telephone_number": "770-280-7288",
"fax_number": "770-983-6098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 FAIRFIELD RD",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301803804",
"telephone_number": "770-280-7288",
"fax_number": "770-983-6098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURPOSE COMMUNITY THERAPEUTIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-07",
"last_updated": "2013-03-07",
"status": "A",
"authorized_official_last_name": "GOLSON",
"authorized_official_first_name": "CHANTAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-280-7288",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "002683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003126621A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Villa Rica, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.