Organization Active NPI

Catalyst Therapeutic Services, LLC

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1891039855
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW004280 Issued in GA
Legal business name
CATALYST THERAPEUTIC SERVICES, LLC
Practice address
2638 Ridgemore Rd NW
Atlanta, GA 30318-1444
Phone
(404) 937-0725
NPI assigned
Nov 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Mrs. Erin Harrell Jansen, LCSW
Title
Owner
Phone
(404) 937-0725

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X CSW004280 GA Primary
Community/Behavioral Health Agency 251S00000X CSW004280 GA

Addresses

Primary practice location

2638 Ridgemore Rd NW
Atlanta, GA 30318-1444

Mailing address

2638 Ridgemore Rd NW
Atlanta, GA 30318-1444
Phone (404) 937-0725

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1891039855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 RIDGEMORE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181444",
            "telephone_number": "404-937-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 RIDGEMORE RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181444",
            "telephone_number": "404-937-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "JANSEN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "HARRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-937-0725",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW004280",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW004280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.