Organization Active NPI

Epiphany Counseling Guidance and Treatment Services

  • Mental Health Counselor
  • Columbus, GA
National Provider Identifier
1023407582
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14-000835 Issued in GA
Legal business name
EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICES
Practice address
233 12TH St
Columbus, GA 31901-2462
Phone
(678) 788-7400
Fax
(678) 954-6896
NPI assigned
Jan 21, 2015
Organization subpart
Yes
Parent organization
EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Dennis Dixon
Title
Owner
Phone
(678) 788-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 14-000835 GA Primary

Addresses

Primary practice location

233 12TH St
Columbus, GA 31901-2462

Mailing address

8484 Highway 85
Jonesboro, GA 30238-4308
Phone (678) 788-7400

National Provider Directory

National Provider Directory
Tax ID family
Epiphany Counseling Guid3 organizations share this tax ID, including this one
Part of
Epiphany Counseling Guid

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1023407582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 HIGHWAY 85",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384308",
            "telephone_number": "678-788-7400",
            "fax_number": "678-954-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 12TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012462",
            "telephone_number": "678-788-7400",
            "fax_number": "678-954-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICES",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-788-7400"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "14-000835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.