Organization Active NPI

Lotus Nest Counseling Services LLC

  • Marriage & Family Therapist
  • Americus, GA
National Provider Identifier
1073129896
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LOTUS NEST COUNSELING SERVICES LLC
Practice address
110 Windsor Ave
Americus, GA 31709-3531
Phone
(229) 596-1199
Fax
(229) 596-1200
NPI assigned
Sep 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Brianna Rae Brown, LMFTNPI 1447774195
Title
Chief Executive Officer
Phone
(229) 596-1199

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

110 Windsor Ave
Americus, GA 31709-3531

Mailing address

110 Windsor Ave
Americus, GA 31709-3531
Phone (229) 596-1199

Other practice location 1

110 Windsor Ave
Americus, GA 31709-3531
Phone (229) 596-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241030001496 GA Part B Supplier - Clinic/Group Practice 1759814684 Receives reassigned benefits from 2 practitioners
Practice locations: Albany, GA; Americus, GA

National Provider Directory

National Provider Directory

Locations

1137 Dawson Rd
Albany, GA 31707
Phone (229) 596-1199

138 S Lee St
Ste B
Americus, GA 31709
Phone (229) 596-1199

110 Windsor Ave
Americus, GA 31709
Phone (229) 596-1199

Practitioners & affiliated clinicians

Practitioners 8

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": "1600300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1073129896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WINDSOR AVE",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093531",
            "telephone_number": "229-596-1199",
            "fax_number": "229-596-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WINDSOR AVE",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093531",
            "telephone_number": "229-596-1199",
            "fax_number": "229-596-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Windsor Ave",
            "address_purpose": "LOCATION",
            "city": "Americus",
            "state": "GA",
            "postal_code": "317093531",
            "country_code": "US",
            "telephone_number": "229-596-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOTUS NEST COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "229-596-1199",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.