KEYSTONE COUNSELING CENTER (NPI# 1417092339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417092339 |
Entity Type | Organization |
Organization Name | KEYSTONE COUNSELING CENTER |
Practice Address |
275 Country Club Dr Stockbridge GA 30281-7349 |
Practice Telephone | 7704748400 |
Practice Fax Number | 7704743738 |
Mailing Telephone | 7704748400 |
Mailing Fax Number | 7704743738 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DAVID HERMECZ (PARTNER) |
Authorized Official Telephone | 7704748400 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
X | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
X | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
X | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
X | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
X | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
X | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730417163 | Keystone Counseling Center | Community/Behavioral Health | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2009-11-23 |
Street Address |
275 COUNTRY CLUB DR |
City | STOCKBRIDGE |
State | GA |
Zip Code | 30281-7349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982657300 | Tanya Coyle Hargrove | Counselor | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2006-05-18 |
1952851354 | April E Barnes | Counselor | 275 Country Club Dr, Stockbridge, GA 30281 | 2016-10-10 |
1811379381 | Jeffrey Ayers | Counselor | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2015-06-22 |
1164753034 | Andrea Smith | Social Worker | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2010-01-15 |
1730417163 | Keystone Counseling Center | Community/Behavioral Health | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2009-11-23 |
1609088517 | Alisha Curry Walker | Counselor | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2007-05-04 |
1265582357 | Margaret O. Weaver | Psychologist | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2007-01-11 |
1699849265 | David Arthur Hermecz | Psychologist | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2006-11-17 |
1073691911 | Karla Redman | Social Worker | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2006-11-01 |
1689759458 | Lance Alfrred Netland | Marriage & Family Therapist | 275 Country Club Dr, Stockbridge, GA 30281-7349 | 2006-10-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
Find all providers in zip 30281 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356814727 | Ecclesia Savage | Counselor | 829 Fairways Ct Ste 210, Stockbridge, GA 30281-7219 | 2019-01-08 |
1437675972 | Tina Bonds | Counselor | 20 Country Place Ct, Stockbridge, GA 30281-1367 | 2017-08-16 |
1609310382 | Marissa Mullins | Counselor | 829 Fairways Ct, Stockbridge, GA 30281-7219 | 2016-12-14 |
1124560834 | Charleka Kelley | Counselor | 301 Country Club Dr, Stockbridge, GA 30281-7350 | 2016-11-11 |
1194188250 | Linda Susan Williams | Counselor | 135 Glynn Addy Dr, Stockbridge, GA 30281-7639 | 2016-04-05 |
1073924916 | Grequenceo Coger | Counselor | 1817 Saint Ives Xing, Stockbridge, GA 30281-9011 | 2014-05-14 |
1871837542 | Tina Nechelle Aldridge | Counselor | 633 Glenwood Way, Stockbridge, GA 30281-9050 | 2012-11-20 |
1982968277 | Nona A Lindberg | Counselor | 20 Lee Rd, Stockbridge, GA 30281-2516 | 2012-07-02 |
1609161041 | Saheedah Henriques | Counselor | 1133 Eagles Landing Pkway, Stockbridge, GA 30281 | 2011-06-14 |
1558676023 | Malochee Joseph | Counselor | 403 Azure Ct, Stockbridge, GA 30281-7005 | 2010-08-09 |
Find all providers in STOCKBRIDGE |
City | STOCKBRIDGE |
Zip Code | 30281 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.