PIPER MCCRILLIS SCHOOL, INC. (NPI# 1669727996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669727996 |
| Entity Type | Organization |
| Organization Name | PIPER MCCRILLIS SCHOOL, INC. |
| Other Organization Name | THE COMMUNITY SCHOOL |
| Practice Address |
308 Clairemont Ave Decatur GA 30030-2506 |
| Practice Telephone | 4043088548 |
| Mailing Telephone | 4043088548 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |
| Authorized Official Name | DAVID GRAHAM NELSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4043088548 |
| Authorized Official Credential | MS, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 4021 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| The Community School | Doing Business As Name - Organization |
| Street Address |
308 CLAIREMONT AVE |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598098949 | Lynyetta G Willis | Psychologist | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2009-09-16 |
| 1740846096 | Melissa Davis | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2019-05-13 |
| 1174088843 | Elizabeth Bull | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2019-02-06 |
| 1053825786 | Kaitlyn Carissa Morris | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2017-11-16 |
| 1053822833 | Sara Morgan | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2017-10-19 |
| 1134557374 | Christine Alberi Bruso | Social Worker | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2013-10-25 |
| 1730517962 | Kimberly Ann Evans | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2013-10-25 |
| 1164850368 | Elizabeth Champ | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2013-10-24 |
| 1295163517 | David Graham Nelson | Counselor | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2013-10-23 |
| 1356604334 | Courtney Brooke Chambless | Psychologist | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2012-06-24 |
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| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
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| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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|---|---|---|---|---|
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| 1124505177 | Christine Cooper | Community/Behavioral Health | 1925 Old Moulton Rd, Decatur, AL 35601-2752 | 2018-07-23 |
| 1356845937 | D. Bennett Counseling and Consulting Services LLC | Community/Behavioral Health | 614 Valley Brook Rd # 120, Decatur, GA 30033-6022 | 2018-03-20 |
| 1437676632 | Ida's Cove | Community/Behavioral Health | 4280 Memorial Dr Ste C, Decatur, GA 30032-1216 | 2017-08-28 |
| 1699226563 | Heritage Behavioral Health Center | Community/Behavioral Health | 300 E Eldorado St, Decatur, IL 62523-1037 | 2016-10-17 |
| 1144771015 | Heritage Behavioral Health Center | Community/Behavioral Health | 1 Educational Park, Decatur, IL 62526-2548 | 2016-10-17 |
| 1245781129 | Heritage Behavioral Health Center | Community/Behavioral Health | 4735 E Cantrell St, Decatur, IL 62521-8720 | 2016-10-17 |
| 1053862920 | Heritage Behavioral Health Center | Community/Behavioral Health | 300 Meadow Terrace Pl, Decatur, IL 62521-5252 | 2016-10-17 |
| 1528519584 | Heritage Behavioral Health Center | Community/Behavioral Health | 1499 W Grand Ave, Decatur, IL 62522-1410 | 2016-10-14 |
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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.