NPIMap

Organization Active NPI

Ican Think Positive Counseling and Coaching Services

  • Community/Behavioral Health Agency
  • Stone Mountain, GA
National Provider Identifier
1962824466
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ICAN THINK POSITIVE COUNSELING AND COACHING SERVICES
Practice address
5405 Memorial Dr BLDG C
Stone Mountain, GA 30083-3234
Phone
(678) 999-2611
NPI assigned
Jan 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tinita Simmonds, LPCNPI 1194141796
Title
Owner/Ceo
Phone
(770) 256-0099

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5405 Memorial Dr BLDG C
Stone Mountain, GA 30083-3234

Mailing address

PO Box 165
Redan, GA 30074-0165
Phone (678) 999-2611

Other practice location 1

5405 Memorial Dr Bldg C
Stone Mountain, GA 30083-3234
Phone (678) 999-2611

Other practice location 2

6287 Memorial Dr
G-4
Stone Mountain, GA 30083-2848
Phone (678) 999-2611

Other practice location 3

5405 Memorial Dr Bldg C
Stone Mountain, GA 30083-3234
Phone (678) 999-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250226000699 GA Part B Supplier - Clinic/Group Practice 7214457860 Receives reassigned benefits from 11 practitioners
Practice locations: Columbus, GA; Stone Mountain, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2123746Ican Think Positive Counseling & Coaching Services5405 Memorial Drive, Building C, Stone Mountain, GA 30083Certificate of waiverDec 29, 2026
11D2319747Ican Think Positive Counseling5405 Memorial Drive, Building H, Stone Mountain, GA 30083Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
I Am Whole Wellness Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2050 Warm Springs Rd
Ste C
Columbus, GA 31904
Phone (678) 999-2611

6287 Memorial Dr
#G4
Stone Mountain, GA 30083
Phone (678) 999-2611

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962824466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "REDAN",
            "state": "GA",
            "postal_code": "300740165",
            "telephone_number": "678-999-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 MEMORIAL DR BLDG C",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833234",
            "telephone_number": "678-999-2611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 Memorial Dr Bldg C",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300833234",
            "country_code": "US",
            "telephone_number": "678-999-2611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6287 Memorial Dr",
            "address_2": "G-4",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300832848",
            "country_code": "US",
            "telephone_number": "678-999-2611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5405 Memorial Dr Bldg C",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300833234",
            "country_code": "US",
            "telephone_number": "678-999-2611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ICAN THINK POSITIVE COUNSELING AND COACHING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMMONDS",
        "authorized_official_first_name": "TINITA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "770-256-0099",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.