EXPANSION COUNSELING SERVICES, LLC
NPI 1720539562
Counselor - Professional in Roswell, GA

Q: What is Expansion Counseling Services, LLC's NPI number?

The NPI number for Expansion Counseling Services, LLC is 1720539562. It was assigned to this organization in the NPPES registry on October 17, 2016.

Q: What is Expansion Counseling Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since October 17, 2016CLIA 11D2214478 · Waiver

500 SUN VALLEY DRIVE D2, ROSWELL, GA 30076(770) 910-9162(770) 910-9768 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 5, 2023, Apr 5, 2023, Mar 27, 2023 and 1 more (4 updates tracked since 2016).

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About Expansion Counseling Services, Llc NPPES

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

EXPANSION COUNSELING SERVICES, LLC (NPI 1720539562) is a healthcare organization registered as a professional in Roswell, Georgia and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Eboni R Mormant, Director, as its authorized official.

NPPES Registry Identity

NPI1720539562

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameEXPANSION COUNSELING SERVICES, LLC

Location Address500 SUN VALLEY DRIVE D2Roswell, GA 30076

Mailing Address500 Sun Valley Drive D2Roswell, GA 30076 · (770) 910-9162 · Fax (770) 910-9768

Phone(770) 910-9162

Fax(770) 910-9768

Organization SubpartNo

Authorized OfficialEboni R MormantDirector · (770) 910-9162

Enumeration DateOctober 17, 2016

Last NPPES UpdateJuly 5, 20234 updates tracked since enumeration

NPPES CertifiedApril 5, 2023

✔ NPI 1720539562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 1184963357 (GA)

500 SUN VALLEY DRIVE D2, Roswell, GA 30076

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Other Identifiers 2

Other1720539562GA · Group Npi

Medicaid003275832AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan, Ambetter from Meridian and more.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 11D2214478

Expansion Counseling Services, LLC · Roswell, GA

Active · expires Feb 22, 2027

CLIA Number11D2214478

Laboratory TypePractitioner Other

Certificate Effective DateFebruary 23, 2025

Certificate Expiration DateFebruary 22, 2027

Laboratory DirectorEboni R. Mormant

Laboratory Phone(770) 910-9162

Laboratory LocationExpansion Counseling Services, LLC500 Sun Valley Drive Suite D2, Roswell, GA 30076

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Expansion Counseling Services, LLC's NPI number?

The NPI number for Expansion Counseling Services, LLC is 1720539562. It was assigned to this organization in the NPPES registry on October 17, 2016.

Where is Expansion Counseling Services, LLC located?

Expansion Counseling Services, LLC is located at 500 Sun Valley Drive D2, Roswell, GA 30076. The listed phone number is (770) 910-9162.

What is Expansion Counseling Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Does Expansion Counseling Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2214478) is associated with this NPI, valid through February 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Expansion Counseling Services, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Ambetter of Alabama and 2 other insurers list Expansion 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 Expansion Counseling Services, LLC was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.