Marietta Counseling Practice

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARIETTA COUNSELING PRACTICE

Practice address

13 W Park SQ NE Ste D
Marietta, GA 30060-2294

Phone

(404) 494-0518

NPI assigned

Feb 3, 2019

Last updated

Aug 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Minnicks, LCSWNPI 1639554058

Title

Owner

Phone

(912) 690-4911

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Jennifer Minnicks, LCSW

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1639554058
  NPD Authorized official
• Meghan Vogt, LCSW

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1871062190
  NPD
• Rebekah Ruth Evans, MS, LPC

  • Counselor
  • Marietta, GA
  • NPI 1215561931
  NPD (past)

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1952866006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 W PARK SQ NE STE D",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602294",
            "telephone_number": "404-494-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 W PARK SQ NE STE D",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602294",
            "telephone_number": "404-494-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA COUNSELING PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-03",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "MINNICKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-690-4911",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marietta Chiropractic Clinic,LLC
• Marietta City Schools
• Marietta Counseling
• Marietta Counseling Associates
• Marietta Counseling for Children and Adults
• Marietta Dental Associates.Inc
• Marietta Dental Smiles
• Marietta Dentist
• Marietta Dermatology Associates PA
• Marietta Diagnostic Center, LLC (Marietta Imaging Center Marietta Imaging at North Cobb)

• Clinical Social Worker in Marietta, GA
• Providers in Marietta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.