Active NPI
Verlyn Gail Hargrove
- Professional Counselor
- Warner Robins, GA
National Provider Identifier
1013328582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC005010
- Practice address
- 106 Olympia Dr Ste B
Warner Robins, GA 31093-3614 - Phone
- (478) 745-2811
- Fax
- (478) 745-0881
- NPI assigned
- May 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC005010 | GA | Primary |
Addresses
Primary practice location
106 Olympia Dr Ste B
Warner Robins, GA 31093-3614
Mailing address
277 MLK Blvd Ste 203
Macon, GA 31201-3498
Phone (478) 745-2811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003145652A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC005010 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Center of Central Ga., Inc. | Professional | Past | Accepting new patients |
| Family Counseling Center | Professional | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Warner Robins, GA
- NPI 1114275328
-
- Professional Counselor
- Macon, GA
- NPI 1720358302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400371200000",
"number": "1013328582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 MLK BLVD STE 203",
"city": "MACON",
"state": "GA",
"postal_code": "312013498",
"telephone_number": "478-745-2811",
"fax_number": "478-745-0881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 OLYMPIA DR STE B",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933614",
"telephone_number": "478-745-2811",
"fax_number": "478-745-0881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGROVE",
"first_name": "VERLYN",
"middle_name": "GAIL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-18",
"last_updated": "2014-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC005010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003145652A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.