One-Eighty Counseling Practice

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LPC009559 Issued in GA

Legal business name

ONE-EIGHTY COUNSELING PRACTICE

Practice address

1003 Virginia Ave Ste 212
Atlanta, GA 30354-1387

Phone

(678) 836-9263

Fax

(678) 927-9355

NPI assigned

Jan 19, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Deana Jo Vivian, LPCNPI 1639695513

Title

Therapist

Phone

(678) 836-9263

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deana Jo Vivian

  • Professional Counselor
  • Atlanta, GA
  • NPI 1639695513
  NPD (past) Authorized official
• Mycah Whiting, LPC

  • Professional Counselor
  • Atlanta, GA
  • NPI 1205352184
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1982112231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82567",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303540567",
            "telephone_number": "678-836-9263",
            "fax_number": "678-927-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 VIRGINIA AVE STE 212",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541387",
            "telephone_number": "678-836-9263",
            "fax_number": "678-927-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE-EIGHTY COUNSELING PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "VIVIAN",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "678-836-9263",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "LPC009559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One Pulse Chiropractic and Wellness Centers
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• One to One Health (Georgia State University Student Health Clinic)
• One Up Enterprises
• One Wellness Boutique, Inc. (ONE Wellness)
• One-on-One Therapy Inc.
• Onecare Health Services
• Erica Oneil, ACNP
• Oneopto Ga 1 PLLC (Optique at West Paces)
• Onepoint Physical Therapy, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.