Center for Clinical Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CENTER FOR CLINICAL COUNSELING LLC

Practice address

630 Ellis St Ste 3a
Augusta, GA 30901-1464

Phone

(706) 526-7717

NPI assigned

Aug 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Cassandra L Johnson, PHD LPC

Title

Owner

Phone

(706) 526-7717

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1952880973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 ELLIS ST STE 3A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011464",
            "telephone_number": "706-526-7717",
            "fax_number": "706-755-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 ELLIS ST STE 3A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011464",
            "telephone_number": "706-526-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CLINICAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-526-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Augusta, GA
• Providers in Augusta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.