John T Doheny III LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

003696 Issued in GA

Legal business name

JOHN T DOHENY III LPC

Practice address

2901 University Ave
Suite 41
Columbus, GA 31907-7606

Phone

(706) 575-1833

Fax

(706) 507-9012

NPI assigned

Nov 29, 2011

Organization subpart

No

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

Authorized official

Name

John Doheny, LPC

Title

Owner/Operator

Phone

(706) 575-1833

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1043587595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5754",
            "address_2": "SUITE 41",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319060754",
            "telephone_number": "706-575-1833",
            "fax_number": "706-507-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 UNIVERSITY AVE",
            "address_2": "SUITE 41",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319077606",
            "telephone_number": "706-575-1833",
            "fax_number": "706-507-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T DOHENY III LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "DOHENY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "706-575-1833",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "12786",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "003696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "746440550A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Johnson Family Practice LLC

• All providers in Columbus, GA
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.