Individual provider Active NPI

Verlyn Gail Hargrove

  • Professional Counselor
  • Warner Robins, GA
National Provider Identifier
1013328582
Registry record updated May 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005010 Issued in GA
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

Updated by the provider on May 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003145652AMedicaidGA

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

LicenseStateTypeSpecialty
LPC005010GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.