NPIMap

Organization Active NPI

Family Counseling Associates of North Georgia LLC

  • Professional Counselor
  • Cumming, GA
National Provider Identifier
1861645376
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004935 Issued in GA
Legal business name
FAMILY COUNSELING ASSOCIATES OF NORTH GEORGIA LLC
Practice address
3615 Hutchinson Rd Ste 102
Cumming, GA 30040-0500
Phone
(706) 265-8224
Fax
(888) 447-9197
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Dr. Amanda Brooke Slaughter, ED.D.,LPC,RPTNPI 1346447802
Title
Owner/Therapist
Phone
(706) 265-8224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC004935 GA Primary

Addresses

Primary practice location

3615 Hutchinson Rd Ste 102
Cumming, GA 30040-0500

Mailing address

3615 Hutchinson Rd Ste 102
Cumming, GA 30040-0500
Phone (706) 265-8224

Other names 1

  • Family Counseling Associates of North Georgia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231106002146 GA Part B Supplier - Clinic/Group Practice 3870940315 Receives reassigned benefits from 1 practitioner
Practice locations: Cumming, GA

National Provider Directory

National Provider Directory

Locations

3615 Hutchinson Rd
Ste 102
Cumming, GA 30040
Phone (706) 265-8224

137 Prominence Ct
Ste 120
Dawsonville, GA 30534
Phone (706) 265-8224

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1861645376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 HUTCHINSON RD STE 102",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400500",
            "telephone_number": "706-265-8224",
            "fax_number": "888-447-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HUTCHINSON RD STE 102",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400500",
            "telephone_number": "706-265-8224",
            "fax_number": "888-447-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING ASSOCIATES OF NORTH GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "706-265-8224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D.,LPC,RPT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Counseling Associates of North Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.