Organization Active NPI

Double Spirals LLC

  • Mental Health Counselor
  • Snellville, GA
National Provider Identifier
1972351450
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DOUBLE SPIRALS LLC
Doing business as
double spirals
Practice address
4375 Scotland CT
Snellville, GA 30039-8454
Phone
(404) 548-8335
Fax
(770) 470-0530
NPI assigned
May 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Authorized official

Name
Jennifer Del Castillo, LPC, CRCNPI 1073855235
Title
Owner
Phone
(404) 548-8335

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4375 Scotland CT
Snellville, GA 30039-8454

Mailing address

4375 Scotland CT
Snellville, GA 30039-8454
Phone (404) 548-8335

Other names 1

  • double spirals Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250409002404 GA Part B Supplier - Clinic/Group Practice 7517481716 Receives reassigned benefits from 1 practitioner
Practice locations: Snellville, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1972351450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 SCOTLAND CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398454",
            "telephone_number": "404-548-8335",
            "fax_number": "770-470-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 SCOTLAND CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398454",
            "telephone_number": "404-548-8335",
            "fax_number": "770-470-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE SPIRALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "DEL CASTILLO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-548-8335",
        "authorized_official_credential": "LPC, CRC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "double spirals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.