Nicole Washington Gatlin, LPC, CRC, NCACII

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008434 Issued in GA

Practice address

14382 US Highway 19 S
Thomasville, GA 31757-4801

Phone

(229) 228-5545

Fax

(229) 226-4755

NPI assigned

Jul 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia Treatment Services LLC

  • Methadone Clinic
  • Macon, GA
  • NPI 1578125282
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1083901334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 CARLTON RD",
            "city": "COOLIDGE",
            "state": "GA",
            "postal_code": "317382656",
            "telephone_number": "310-906-5431",
            "fax_number": "229-226-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14382 US HIGHWAY 19 S",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317574801",
            "telephone_number": "229-228-5545",
            "fax_number": "229-226-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATLIN",
        "first_name": "NICOLE",
        "middle_name": "WASHINGTON",
        "name_prefix": "Mrs.",
        "credential": "LPC, CRC, NCACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "1994",
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": "00111394",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "LPC008434",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Raye Gamin, LCSW
• John Scott Garmon, PHYSICIAN ASSISTANT
• Joseph Garmon Jr., MS
• Joseph M Garmon, PH.D.
• Donald Jerome Garrett
• Brian Eric Gaupp, M.D.
• Aimee A Gavette, CNM
• Daniel Alan Gay, PTA
• Rachel Smith Gay, FNP-C
• Mary Lang Gebel, M.ED., CCC-SLP

• Professional Counselor in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.