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

Last updated

May 30, 2024By 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

Dr. Cassandra L Johnson, PHD LPCNPI 1376924514

Title

Owner

Phone

(706) 526-7717

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Cassandra Latasha Johnson, PHD

  • Professional Counselor
  • Augusta, GA
  • NPI 1376924514
  Authorized official Same address or phone

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.