EDGECARE 360 LLC
NPI 1306590328
Counselor - Mental Health in Marietta, GA
NPI Status: Active since February 08, 2022
Contact Information
2470 WINDY HILL RD SE STE 300
MARIETTA, GA
ZIP 30067
Phone: (770) 933-5328
- Organization
- Counselor
- Mental Health
- CLIA Number: 11D2313967
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 11-11-2026
About EDGECARE 360 LLC
This page provides the complete NPI Profile along with additional information for Edgecare 360 Llc, a provider established in Marietta, Georgia operating as a Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1306590328 assigned on February 2022. The practitioner's primary taxonomy code is 101YM0800X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Jennifer Edge Lcsw (Ceo/owner)
- NPI
- 1306590328
- Provider Name
- EDGECARE 360 LLC
- Entity Type
- Organization
- Location Address
- 2470 WINDY HILL RD SE STE 300 MARIETTA, GA 30067
- Location Phone
- (770) 933-5328
- Mailing Address
- 225 FRANKLIN FARMS CIR FAYETTEVILLE, GA 30214
- Mailing Phone
- (678) 561-5066
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2022
- Last Update Date
- 08-14-2025
- Code Navigator
A mental health counselor like Edgecare 360 Llc provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
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 Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2313967
- Facility Type
- Community Clinic
- Certificate Effective Date
- November 12, 2024
- Certificate Expiration Date
- November 11, 2026
- Laboratory Director
- BRYON EVAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Edgecare 360 Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1306590328, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306590328, enumerated as an "organization" on February 08, 2022.
The provider is located at 2470 WINDY HILL RD SE STE 300 MARIETTA, GA 30067 and the phone number is (770) 933-5328.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
