Redwood Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REDWOOD COUNSELING LLC

Practice address

220 Werner Way
Senoia, GA 30276-3615

Phone

(678) 371-4803

Fax

(678) 723-0936

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Michael Stuart Perry, MA,LPC,NCCNPI 1649577529

Title

President and Ceo

Phone

(678) 371-4803

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Michael Stuart Perry, M.A., L.P.C., N.C.C.

  • Professional Counselor
  • Senoia, GA
  • NPI 1649577529
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1922673052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 GLYNN ST S",
            "address_2": "STE 127#326",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142077",
            "telephone_number": "678-371-4803",
            "fax_number": "678-723-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WERNER WAY",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302763615",
            "telephone_number": "678-371-4803",
            "fax_number": "678-723-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "678-371-4803",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA,LPC,NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES",
            "identifier": "1649577529",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Stuart Perry, M.A., L.P.C., N.C.C.
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• Emily Greene Schubert, BACB

• Community/Behavioral Health Agency in Senoia, GA
• Providers in Senoia, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.