NPIMap

Organization Active NPI

Ga Integrated Therapeutic Perspectives

  • Community/Behavioral Health Agency
  • Hinesville, GA
National Provider Identifier
1053855155
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
004421 Issued in GA
Legal business name
GA INTEGRATED THERAPEUTIC PERSPECTIVES
Practice address
407 N Main St
Hinesville, GA 31313-2509
Phone
(678) 664-4003
NPI assigned
Dec 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Kejuiana Johnson, MA, APC, CAMSNPI 1811306814
Title
Member
Phone
(678) 664-4003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 004421 GA Primary

Addresses

Primary practice location

407 N Main St
Hinesville, GA 31313-2509

Mailing address

PO Box 1417
Hinesville, GA 31310-8417

National Provider Directory

National Provider Directory

Locations

407 N Main St
Hinesville, GA 31313
Phone (678) 664-4003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1053855155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1417",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313108417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N MAIN ST",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132509",
            "telephone_number": "678-664-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA INTEGRATED THERAPEUTIC PERSPECTIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEJUIANA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "678-664-4003",
        "authorized_official_credential": "MA, APC, CAMS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "004421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.