Maria C. Coughenour LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC003217 Issued in GA

Legal business name

MARIA C. COUGHENOUR LLC

Practice address

2318 Heron St
Brunswick, GA 31520-4239

Phone

(912) 265-7660

Fax

(912) 265-7858

NPI assigned

Feb 20, 2012

Organization subpart

No

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

Authorized official

Name

Ami Smith

Title

Business Manager

Phone

(912) 265-7660

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria C Coughenour, LPC

  • Professional Counselor
  • Brunswick, GA
  • NPI 1164502811
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1023381191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 HERON ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204239",
            "telephone_number": "912-265-7660",
            "fax_number": "912-265-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 HERON ST",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204239",
            "telephone_number": "912-265-7660",
            "fax_number": "912-265-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA C. COUGHENOUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "912-265-7660"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC003217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691501868A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Romanowski Mann, OTD, OTR/L
• Michelle Denise Mann, PAA
• David M Manning Jr.
• Steven A Mansfield, LPC
• Muzafar Mansoor, M.D
• Maria Myslewicz-Weese, LCSW, LLC
• Mario L Forcina Jr MD PC
• Marsh Haven
• Marshes Medical Diagnostic Clinic, PC
• Miguel J Martelli, MD

• Mental Health Counselor in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.