Organization Active NPI

Diverse Counseling & Psychological Associates, LLC

  • Counseling Psychologist
  • Atlanta, GA
National Provider Identifier
1942533377
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY002740 Issued in GA
Legal business name
DIVERSE COUNSELING & PSYCHOLOGICAL ASSOCIATES, LLC
Practice address
2941 Piedmont Rd NE
Suite F
Atlanta, GA 30305-2784
Phone
(404) 869-9474
Fax
(404) 869-6421
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Dr. Sigrid Elston, PH.D.
Title
Owner/Licensed Psychologist
Phone
(404) 869-9474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X PSY002740 GA Primary

Addresses

Primary practice location

2941 Piedmont Rd NE
Suite F
Atlanta, GA 30305-2784

Mailing address

2941 Piedmont Rd NE
Suite F
Atlanta, GA 30305-2784
Phone (404) 869-9474

National Provider Directory

National Provider Directory

Locations

2941 Piedmont Rd NE
Ste F
Atlanta, GA 30305
Phone (404) 869-9474

11650 Lantern Rd
Ste 126
Fishers, IN 46038
Phone (317) 835-9204

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1942533377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 PIEDMONT RD NE",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052784",
            "telephone_number": "404-869-9474",
            "fax_number": "404-869-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 PIEDMONT RD NE",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052784",
            "telephone_number": "404-869-9474",
            "fax_number": "404-869-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE COUNSELING & PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "ELSTON",
        "authorized_official_first_name": "SIGRID",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-869-9474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY002740",
            "primary": true
        }
    ],
    "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 Sep 17, 2009; 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.