NPIMap

Organization Active NPI

Summit's Edge Counseling & Personal Development

  • Mental Health Counselor
  • Marietta, GA
National Provider Identifier
1942744859
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC004896 Issued in GA
Legal business name
SUMMIT'S EDGE COUNSELING & PERSONAL DEVELOPMENT
Practice address
1640 Powers Ferry Rd SE
BLD: 5 Ste: 110
Marietta, GA 30067-5491
Phone
(888) 551-5168
Fax
(888) 595-7622
NPI assigned
Dec 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Authorized official

Name
Daron Elam, LAPCNPI 1811343171
Title
Ceo
Phone
(888) 551-5168

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
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X APC004896 GA Primary

Addresses

Primary practice location

1640 Powers Ferry Rd SE
BLD: 5 Ste: 110
Marietta, GA 30067-5491

Mailing address

1640 Powers Ferry Rd SE
BLD: 5 Ste: 110
Marietta, GA 30067-5491
Phone (888) 551-5168

National Provider Directory

National Provider Directory

Locations

1640 Powers Ferry Rd SE
Bldg 5
Marietta, GA 30067
Phone (770) 765-1912

1640 Powers Ferry Rd SE
Bldg 14-200
Marietta, GA 30067
Phone (770) 342-8072

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1942744859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE",
            "address_2": "BLD: 5 STE: 110",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "888-551-5168",
            "fax_number": "888-595-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE",
            "address_2": "BLD: 5 STE: 110",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "888-551-5168",
            "fax_number": "888-595-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT'S EDGE COUNSELING & PERSONAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "DARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-551-5168",
        "authorized_official_credential": "LAPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC004896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.