ANNIE RUSSELL LPC
NPI 1316482854
Counselor - Professional in Berkeley Lake, GA

NPI Status: Active since December 19, 2016

Contact Information

4530 S BERKELEY LAKE RD
SUITE B
BERKELEY LAKE, GA
ZIP 30071
Phone: (678) 336-6218

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  • Organization
  • Counselor
  • Professional

About ANNIE RUSSELL LPC

This page provides the complete NPI Profile along with additional information for Annie Russell Lpc, a provider established in Berkeley Lake, Georgia operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1316482854 assigned on December 2016. The practitioner's primary taxonomy code is 101YP2500X with license number LPC009369 (GA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Annie Russell Lpc. The authorized official of this NPI record is Annie Russell Lpc (Owner)

NPI
1316482854
Provider Legal Name
LIBERATING MINDS PSYCHOTHERAPY LLC
Other Organization Name
ANNIE RUSSELL LPC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
4530 S BERKELEY LAKE RD SUITE B BERKELEY LAKE, GA 30071
Location Phone
(678) 336-6218
Mailing Address
4530 S BERKELEY LAKE RD SUITE B BERKELEY LAKE, GA 30071
Mailing Phone
(678) 336-6218
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2016
Last Update Date
12-19-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LPC009369
License State
GA

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANNIE RUSSELL LPC

Authorized Official Title
OWNER
Authorized Official Phone
(678) 336-6218

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316482854
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326884810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 8 + 8 + 4 + 8 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1316482854 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275618449MR. DARRIN SAMUEL BRONFMAN LCSW
Individual
Social Worker (Clinical)4530 S BERKELEY LAKE RD B
NORCROSS, GA 30071
(770) 446-5642
1245388479MS. MARY JUDITH WOHLHUETER LPC
Individual
Counselor (Professional)4530 S BERKELEY LAKE RD SUITE B
NORCROSS, GA 30071
(404) 230-9796
1275795155WE LISTEN, LLC
Organization
Community/Behavioral Health4530 S BERKELEY LAKE RD SUITE B
NORCROSS, GA 30071
(770) 446-5642
1497905863DR. TARA M. BOADU PSY.D.
Individual
Psychologist (Clinical)4530 S BERKELEY LAKE RD SUITE B
NORCROSS, GA 30071
(770) 417-2724
1215169883L. EMBRY COLLINS, JR., PHD, P.C.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))4530 S BERKELEY LAKE RD SUITE B
NORCROSS, GA 30071
(770) 446-5642
1508136888HOPSCOTCH
Organization
Counselor (Professional)4530 S BERKELEY LAKE RD
NORCROSS, GA 30071
(770) 446-5642
1760725444 STACI BULLARD LAPC
Individual
Counselor (Mental Health)4530 S BERKELEY LAKE RD
NORCROSS, GA 30071
(678) 680-6722
1457792657JAMES Z BOWCOCK MD PC
Organization
Psychiatry & Neurology (Diagnostic Neuroimaging)4530 S BERKELEY LAKE RD SUITE B
NORCROSS, GA 30071
(770) 417-2764
1891107207HEALING LINK PSYCHOTHERAPY LLC
Organization
Clinic/Center (Adult Mental Health)4530 S BERKELEY LAKE RD
BERKELEY LAKE, GA 30071
(770) 446-5642
1881006757ANSITZ INC
Organization
Social Worker (Clinical)4530 S BERKELEY LAKE RD
NORCROSS, GA 30071
(678) 858-3488
1114316395TARA M. BOADU, PSY.D. LLC
Organization
Psychologist (Clinical)4530 S BERKELEY LAKE RD SUITE B
BERKELEY LAKE, GA 30071
(470) 514-3727
1487043816 MARY ANN PEARSON LPC
Individual
Counselor (Professional)4530 S BERKELEY LAKE RD SUITE B
BERKELEY LAKE, GA 30071
(470) 514-3725
1205831609 JULIET A SINGLETARY MA, LPC
Individual
Counselor (Mental Health)4530 S BERKELEY LAKE RD SUITE B
BERKELEY LAKE, GA 30071
(678) 336-6797
1114383817 MITCHELL FOY LPC
Individual
Counselor (Professional)4530 S BERKELEY LAKE RD SUITE B
BERKELEY LAKE, GA 30071
(678) 387-2767
1578587440DR. YING MING ZHANG M.D.
Individual
Psychiatry & Neurology (Psychiatry)4530 S BERKELEY LAKE RD
NORCROSS, GA 30071
(770) 446-5642
1235204991DR. LEWIS EMBRY COLLINS JR. PH.D.
Individual
Psychologist4530 S BERKELEY LAKE RD STE B
BERKELEY LAKE, GA 30071
(770) 446-5642
1467985093MS. DOREEN R CHURCH LCSW
Individual
Social Worker (Clinical)4530 S BERKELEY LAKE RD STE B
BERKELEY LAKE, GA 30071
(678) 662-0029
1790275220 ALEXANDRIA LAWRENCE
Individual
Marriage & Family Therapist4530 S BERKELEY LAKE RD
BERKELEY LAKE, GA 30071
(478) 290-7130
1598253494 KATE MURPHY
Individual
Social Worker (Clinical)4530 S BERKELEY LAKE RD
BERKELEY LAKE, GA 30071
(678) 348-6017
1730249467KAREN PIERING ABBOTT, PSY.D., LLC
Organization
Psychologist (Clinical)4530 S BERKELEY LAKE RD SUITE B
NORCROSS, GA 30071
(770) 446-5642

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316482854, enumerated in the NPI registry as an "organization" on December 19, 2016

The provider is located at 4530 S Berkeley Lake Rd Suite B Berkeley Lake, Ga 30071 and the phone number is (678) 336-6218

This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional

This NPI record was last updated on December 19, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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