NONE
NPI 1154889665
Clinic/Center - Methadone in Austell, GA

Active since March 05, 2019CLIA 11D2145558 · Waiver
1790 MULKEY RD STE 3A, AUSTELL, GA 30106(770) 693-9388(770) 693-9537 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2024, Sep 12, 2024, Apr 6, 2023 and 3 more (6 updates tracked since 2019).

About None NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NONE (NPI 1154889665) is a healthcare organization registered as a methadone in Austell, Georgia and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Kimberly C Henderson, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1154889665
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameHARBOR SPRINGS COUNSELING SERVICES LLC
Location Address1790 MULKEY RD STE 3AAustell, GA 30106-1122
Mailing Address15 Pointe Ridge DrAtlanta, GA 30328-2755 · (404) 271-8768 · Fax (404) 592-9018
Fax(770) 693-9537
Organization SubpartNo
Authorized OfficialKimberly C HendersonPharmacist · (404) 271-8768
Enumeration DateMarch 5, 2019
Last NPPES UpdateOctober 30, 20246 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1154889665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
1790 MULKEY RD STE 3A, Austell, GA 30106

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2145558

Harbor Springs Counseling Services · Austell, GA
Active · expires Mar 11, 2028
CLIA Number11D2145558
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorKimberly C. Henderson
Laboratory Phone(404) 271-8768
Laboratory LocationHarbor Springs Counseling Services1790 Mulkey Road, Suite A, Austell, GA 30106
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
366 services13 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
194 services12 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1790 MULKEY RD STE 3A
AUSTELL, GA 30106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harbor Springs Counseling Services LLC's NPI number?

The NPI number for Harbor Springs Counseling Services LLC is 1154889665. It was assigned to this organization in the NPPES registry on March 5, 2019.

Where is Harbor Springs Counseling Services LLC located?

Harbor Springs Counseling Services LLC is located at 1790 Mulkey Rd Ste 3A, Austell, GA 30106. The listed phone number is (770) 693-9388.

What is Harbor Springs Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Harbor Springs Counseling Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2145558) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Harbor Springs Counseling Services LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Harbor Springs Counseling Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harbor Springs Counseling Services LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.