NPIMap

Organization Active NPI

A. Bingham Counseling LLC

Doing business as The Counseling Collaborative

  • Professional Counselor
  • Carrollton, GA
National Provider Identifier
1982238119
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
A. BINGHAM COUNSELING LLC
Doing business as
The Counseling Collaborative
Practice address
1109 S Park St Ste 504367
Carrollton, GA 30117-4462
Phone
(678) 664-3434
NPI assigned
Feb 26, 2020
Last updated
May 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Austen Bingham, ED.S., LPCNPI 1679025670
Title
Owner/Director
Phone
(678) 664-3434

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 Counselor 101YP2500X Primary

Addresses

Primary practice location

1109 S Park St Ste 504367
Carrollton, GA 30117-4462

Mailing address

1109 S Park St Ste 504367
Carrollton, GA 30117-4462
Phone (678) 664-3434

Other practice location 1

515 Tanner St
Carrollton, GA 30117-3318
Phone (678) 664-3434

Other names 1

  • The Counseling Collaborative Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240320002249 GA Part B Supplier - Clinic/Group Practice 5294172748 Receives reassigned benefits from 2 practitioners
Practice locations: Carrollton, GA

National Provider Directory

National Provider Directory

Locations

1109 S Park St
Ste 504367
Carrollton, GA 30117
Phone (678) 664-3434

306 Rome St
#B
Carrollton, GA 30117
Phone (470) 980-7898

231 Bonnet St
Manchester Center, VT 05255
Phone (678) 664-3434

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1982238119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 S PARK ST STE 504367",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174462",
            "telephone_number": "678-664-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S PARK ST STE 504367",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174462",
            "telephone_number": "678-664-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Tanner St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173318",
            "country_code": "US",
            "telephone_number": "678-664-3434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A. BINGHAM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "AUSTEN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "678-664-3434",
        "authorized_official_credential": "ED.S., LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Counseling Collaborative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.