NPIMap

Organization Active NPI

Grounding Flight

  • Professional Counselor
  • Woodstock, GA
National Provider Identifier
1952710337
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.008427 Issued in IL
Legal business name
GROUNDING FLIGHT
Practice address
136 Pioneer Dr
Woodstock, GA 30188-4522
Phone
(678) 631-7630
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Jennifer Baldwin, LPC, PHDNPI 1457659609
Title
Owner/Director
Phone
(678) 631-7630

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180.008427 IL Primary

Addresses

Primary practice location

136 Pioneer Dr
Woodstock, GA 30188-4522

Mailing address

136 Pioneer Dr
Woodstock, GA 30188-4522
Phone (678) 631-7630

Other practice location 1

6104 S Woodlawn Ave
#410
Chicago, IL 60637-2860
Phone (773) 236-1239

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Woodstock Direct

National Provider Directory

National Provider Directory

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": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1952710337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 PIONEER DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884522",
            "telephone_number": "678-631-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 PIONEER DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884522",
            "telephone_number": "678-631-7630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6104 S Woodlawn Ave",
            "address_2": "#410",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606372860",
            "country_code": "US",
            "telephone_number": "773-236-1239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROUNDING FLIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "678-631-7630",
        "authorized_official_credential": "LPC, PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Woodstock",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "136 Pioneer Dr",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301884522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.