NPIMap

Organization Active NPI

Jordan Stone Counseling Center

  • Professional Counselor
  • Roswell, GA
National Provider Identifier
1972038552
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004118 Issued in GA
Legal business name
JORDAN STONE COUNSELING CENTER
Practice address
1875 Old Alabama Rd Ste 625
Roswell, GA 30076-2264
Phone
(678) 757-5785
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Mandi Peek, LPCNPI 1558681916
Title
Owner
Phone
(678) 757-5785

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 LPC004118 GA Primary

Addresses

Primary practice location

1875 Old Alabama Rd Ste 625
Roswell, GA 30076-2264

Mailing address

1875 Old Alabama Rd Ste 625
Roswell, GA 30076-2264
Phone (678) 757-5785

National Provider Directory

National Provider Directory

Locations

1875 Old Alabama Rd
Ste 625
Roswell, GA 30076
Phone (404) 919-4563

Practitioners & affiliated clinicians

Practitioners 2

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": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1972038552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 OLD ALABAMA RD STE 625",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762264",
            "telephone_number": "678-757-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 OLD ALABAMA RD STE 625",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762264",
            "telephone_number": "678-757-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN STONE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "PEEK",
        "authorized_official_first_name": "MANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-757-5785",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.