Active NPI
Garden City Counseling Center, Inc
- Mental Health Counselor
- Augusta, GA
National Provider Identifier
1073848552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC005710
- Legal business name
- GARDEN CITY COUNSELING CENTER, INC
- Practice address
- 801 Crawford Ave
Augusta, GA 30904-3711 - Phone
- (706) 836-2224
- Fax
- (706) 869-9870
- NPI assigned
- Oct 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Melissa Kay Bentley, LPC
- Title
- Licensed Professional Counselor
- Phone
- (706) 836-2224
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC005710 | GA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSW003760 | GA | |
| Mental Health Counselor | 101YM0800X | LPC005710 | GA | Primary |
| Clinical Social Worker | 1041C0700X | CSW003760 | GA |
Addresses
Primary practice location
801 Crawford Ave
Augusta, GA 30904-3711
Mailing address
801 Crawford Ave
Augusta, GA 30904-3711
Phone (706) 836-2224
National Provider Directory
National Provider DirectoryLocations
801 Crawford Ave
Augusta, GA 30904
Phone (706) 833-7601
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Augusta, GA
- NPI 1073840732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255651200000",
"number": "1073848552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 CRAWFORD AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309043711",
"telephone_number": "706-836-2224",
"fax_number": "706-869-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CRAWFORD AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309043711",
"telephone_number": "706-836-2224",
"fax_number": "706-869-9870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN CITY COUNSELING CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-16",
"last_updated": "2009-10-16",
"status": "A",
"authorized_official_last_name": "BENTLEY",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "706-836-2224",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "LPC005710",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "CSW003760",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC005710",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW003760",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.