CENTER FOR FAMILY PSYCHIATRY — NPI 1841379740 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1841379740

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

101YP2500X (CMS E2)

Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor

Box 32 Service Location & ZIP+4

120 HANDLEY RD, SUITE 310, TYRONE, GA, 30290-2177

✓ 9-Digit EDI 837 ZIP+4 (30290-2177)

Practice Phone & Referral Fax

(770) 486-1011

Fax: (770) 486-1067

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1841379740 (CENTER FOR FAMILY PSYCHIATRY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1841379740` (NPI-2 Organization / Facility)
Provider / Legal Name	CENTER FOR FAMILY PSYCHIATRY
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor NUCC Code: `101YP2500X` (Counselor, Professional)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	120 HANDLEY RD, SUITE 310, TYRONE, GA, 30290-2177
Practice Telephone / Fax	Tel: (770) 486-1011 \| Fax: (770) 486-1067
Administrative Mailing Address	120 HANDLEY RD, TYRONE, GA, 30290-2177
Enumeration & Last Sync	Enumerated: 2006-11-03 \| CMS Record Updated: 2012-03-30
Authorized Official	KALIKA BHARGAVE (OFFICE MANAGER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

120 HANDLEY RD, SUITE 310, TYRONE, GA, 30290-2177

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Plain-English Taxonomy & CMS Crosswalk (101YP2500X)

What Does Taxonomy Code 101YP2500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 101YP2500X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor"

CMS-1500 Medicare Specialty Crosswalk: CMS Code E2 (Licensed Professional Counselor)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Counselor, Professional for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CENTER FOR FAMILY PSYCHIATRY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: GA \| License: `LPC003177` \| Primary: Secondary
`103TB0200X` — Psychologist, Cognitive & Behavioral Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Cognitive & Behavioral	State: GA \| License: `PSY002096` \| Primary: Secondary
`101YP2500X` — Counselor, Professional Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: GA \| License: `LPC003153` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CENTER FOR FAMILY PSYCHIATRY (NPI #1841379740)