NPIMap

Organization Active NPI

Camden C & a

  • Mental Health Counselor
  • Kingsland, GA
National Provider Identifier
1033428875
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CAMDEN C & A
Practice address
100 Mariners Dr
Suite D
Kingsland, GA 31548-6666
Phone
(912) 449-7111
Fax
(912) 449-7060
NPI assigned
Sep 28, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
SATILLA COMMUNITY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Glyn Thomas, PHD
Title
Deo
Phone
(912) 449-7103

Specialties & licenses 1

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

Addresses

Primary practice location

100 Mariners Dr
Suite D
Kingsland, GA 31548-6666

Mailing address

1007 Mary St
Waycross, GA 31503-3823
Phone (912) 449-7111

National Provider Directory

National Provider Directory
Tax ID family
Satilla Community SRVC71 organizations share this tax ID, including this one
Part of
Satilla Community SRVC

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1033428875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MARY ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315033823",
            "telephone_number": "912-449-7111",
            "fax_number": "912-449-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARINERS DR",
            "address_2": "SUITE D",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486666",
            "telephone_number": "912-449-7111",
            "fax_number": "912-449-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN C & A",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SATILLA COMMUNITY SERVICES",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GLYN",
        "authorized_official_title_or_position": "DEO",
        "authorized_official_telephone_number": "912-449-7103",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.