NPIMap

Organization Active NPI

Collaborations for Resiliency in Children, Inc

  • Mental Health Counselor
  • Jasper, GA
National Provider Identifier
1881940260
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COLLABORATIONS FOR RESILIENCY IN CHILDREN, INC
Practice address
2404 Refuge Rd
Jasper, GA 30143-4946
Phone
(706) 692-7209
Fax
(706) 692-0144
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Mrs. Sandra Lynn Cantrell
Title
Director of Operations
Phone
(706) 692-7209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2404 Refuge Rd
Jasper, GA 30143-4946

Mailing address

2404 Refuge Rd
Jasper, GA 30143-4946
Phone (706) 692-7209

National Provider Directory

National Provider Directory
Tax ID family
Collaborations for Resiliency in Children Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1881940260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 REFUGE RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434946",
            "telephone_number": "706-692-7209",
            "fax_number": "706-692-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 REFUGE RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434946",
            "telephone_number": "706-692-7209",
            "fax_number": "706-692-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIONS FOR RESILIENCY IN CHILDREN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "706-692-7209",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.