Active NPI
Mary Heather Merritt, LCSW
- Mental Health Counselor
- Macon, GA
National Provider Identifier
1093222663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CSW005145
- Practice address
- 2607 Vineville Ave
Macon, GA 31204-0933 - Phone
- (478) 227-0069
- Fax
- (478) 818-1966
- NPI assigned
- Jan 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW005145 | GA | |
| Mental Health Counselor | 101YM0800X | CSW005145 | GA | Primary |
Addresses
Primary practice location
2607 Vineville Ave
Macon, GA 31204-0933
Mailing address
292 Lakeview Dr
Macon, GA 31211-6120
Phone (478) 227-0069
Other practice location 1
292 Lakeview Dr
Macon, GA 31211-6120
Phone (478) 954-7182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4149 Arkwright Rd
Suite B
Macon, GA 31210-1734
Phone (478) 227-0069
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW005145 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Counseling LLC | Mental Health | Current | Accepting new patients |
| Endpoints LLC | Past | Accepting new patients | |
| The Bridge Counseling and Consultation Center | Clinical | Past | Accepting new patients |
Locations
4149 Arkwright Rd
Ste B
Macon, GA 31210
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Macon, GA
- NPI 1144963760
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Macon, GA
- NPI 1386252948
-
- Clinical Social Worker
- Macon, GA
- NPI 1346753399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1093222663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 LAKEVIEW DR",
"city": "MACON",
"state": "GA",
"postal_code": "312116120",
"telephone_number": "478-227-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 VINEVILLE AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312040933",
"telephone_number": "478-227-0069",
"fax_number": "478-818-1966"
}
],
"practiceLocations": [
{
"address_1": "292 Lakeview Dr",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312116120",
"country_code": "US",
"telephone_number": "478-954-7182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERRITT",
"first_name": "MARY",
"middle_name": "HEATHER",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005145",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "CSW005145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
- Mandy Kimball Mercer, LCSW
- Mercuer University School of Medicine
- Meridian Anesthesia Consultants, LLC
- Meridian Psychiatry & Behavioral Health
- Terrence G Mermann, PROFESSIONAL COUNSEL
- Catherine Jennifer Meschler, M.D.
- Kimberly Mesumbe, PHARMD
- Metabolic Health of Lawrenceville
- Methodist Home of the South Ga Conference
- Methodist Home of the South Georgia Conference
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.