Active NPI
Nsikan D Essien
- Counselor
- Thomasville, GA
National Provider Identifier
1043491814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC002074
- Practice address
- 1102 Smith Ave
Thomasville, GA 31792-5739 - Phone
- (229) 225-4335
- Fax
- (229) 225-4374
- NPI assigned
- Nov 20, 2007
- Last updated
- Nov 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC002074 | GA | Primary |
Addresses
Primary practice location
1102 Smith Ave
Thomasville, GA 31792-5739
Mailing address
1905 Caroline St
Apartment G
Bainbridge, GA 39819-4394
Phone (229) 246-6505
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC002074 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1043491814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 CAROLINE ST",
"address_2": "APARTMENT G",
"city": "BAINBRIDGE",
"state": "GA",
"postal_code": "398194394",
"telephone_number": "229-246-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 SMITH AVE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925739",
"telephone_number": "229-225-4335",
"fax_number": "229-225-4374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESSIEN",
"first_name": "NSIKAN",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-20",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC002074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.