Active NPI
Epiphany Counseling Guidance and Treatment Services
- Mental Health Counselor
- Columbus, GA
National Provider Identifier
1023407582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14-000835
- 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 SERVICES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 Guid
- 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.
-
- Mental Health Counselor
- Macon, GA
- NPI 1114316676
-
- Mental Health Counselor
- Augusta, GA
- NPI 1720477284
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.
-
- Clinical Social Worker
- Jonesboro, GA
- NPI 1174955918
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.