Organization Active NPI

Operation Street Harvest, Inc. Dba Ga Black Licensed Assoc. Counselors

  • Mental Health Counselor
  • Decatur, GA
National Provider Identifier
1972361269
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OPERATION STREET HARVEST, INC. DBA GA BLACK LICENSED ASSOC. COUNSELORS
Practice address
1 W Court SQ Ste 750
Decatur, GA 30030-2538
Phone
(678) 978-9391
Fax
(770) 538-1716
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Dr. Tonya Lynn Sumner Brown, PYSD., LPC, M.DIV.NPI 1639496169
Title
Ceo/Clinical Supervisor/President
Phone
(678) 978-9391

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

1 W Court SQ Ste 750
Decatur, GA 30030-2538

Mailing address

3982 Misty LK
Ellenwood, GA 30294-1164
Phone (678) 978-9391

Other practice location 1

1 W Court Sq Ste 750
Decatur, GA 30030-2538
Phone (678) 978-9391

Other practice location 2

4153 Flat Shoals Pkwy Bldg C
Decatur, GA 30034-4106
Phone (678) 978-9391

Other practice location 3

Town Park Center
Ste. 300, Office 78
Kennesaw, GA 30144
Phone (678) 978-9391

National Provider Directory

National Provider Directory
Tax ID family
Operation Street Harvest Inc Dba a Love Counseling Center2 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.

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": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1972361269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3982 MISTY LK",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941164",
            "telephone_number": "678-978-9391",
            "fax_number": "770-538-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W COURT SQ STE 750",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302538",
            "telephone_number": "678-978-9391",
            "fax_number": "770-538-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 W Court Sq Ste 750",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300302538",
            "country_code": "US",
            "telephone_number": "678-978-9391",
            "fax_number": "770-538-1716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4153 Flat Shoals Pkwy Bldg C",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300344106",
            "country_code": "US",
            "telephone_number": "678-978-9391",
            "fax_number": "770-538-1716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Town Park Center",
            "address_2": "Ste. 300, Office 78",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "30144",
            "country_code": "US",
            "telephone_number": "678-978-9391",
            "fax_number": "770-538-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPERATION STREET HARVEST, INC. DBA GA BLACK LICENSED ASSOC. COUNSELORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "SUMNER BROWN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO/CLINICAL SUPERVISOR/PRESIDENT",
        "authorized_official_telephone_number": "678-978-9391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PYSD., LPC, M.DIV."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.