Individual provider Active NPI

Xavier Marquis McCaskey, PH.D

  • School Psychologist
  • Columbus, GA
National Provider Identifier
1093978439
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1118453
Practice address
3100 Gentian Blvd Ste 8a
Columbus, GA 31907-5639
Phone
(706) 530-8756
Fax
(470) 552-2767
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 509630 VA
Addiction (Substance Use Disorder) Counselor 101YA0400X GA- CPD0016 GA
Mental Health Counselor 101YM0800X 068.0134348 VT
Mental Health Counselor 101YM0800X PCO13988 PA
Pastoral Counselor 101YP1600X 839 GA
Professional Counselor 101YP2500X LPC007918 GA
Professional Counselor 101YP2500X CP5476-R NV
Acupuncturist 171100000X GA
School Psychologist 103TS0200X 1118453 Primary

Addresses

Primary practice location

3100 Gentian Blvd Ste 8a
Columbus, GA 31907-5639

Mailing address

3100 Gentian Blvd Ste 8a
Columbus, GA 31907-5639
Phone (706) 530-8756

Other practice location 1

1500 Chestnut St # 1826
Philadelphia, PA 19102-2737
Phone (706) 641-0558

Other practice location 2

28A Rt. 17 North Ste 197 #102
Ste 197 #102
East Rutherford, NJ 07073-0000
Phone (706) 641-0558

Other practice location 3

5 Kocher Drive
Bennington, VT 05201-0000
Phone (706) 616-0558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
509630VAMDCounselor
GA- CPD0016GAMDAddiction (Substance Use Disorder) Counselor
PCO13988PAMDMental Health Counselor
068.0134348VTMDMental Health Counselor
LPC007918GAMDProfessional Counselor
CP5476-RNVMDProfessional Counselor
839GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Minds Insttiute Counselor CurrentSince Jul 31, 2023 Accepting new patients
Divine Restoration Counseling and Consulting LLC Counselor Current Accepting new patients
Five Star Counseling Services LLC Counselor Past Accepting new patients

Locations

3100 Gentian Blvd
Ste 8A
Columbus, GA 31907
Phone (706) 530-8756

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.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1093978439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 GENTIAN BLVD STE 8A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075639",
            "telephone_number": "706-530-8756",
            "fax_number": "470-552-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GENTIAN BLVD STE 8A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075639",
            "telephone_number": "706-530-8756",
            "fax_number": "470-552-2767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Chestnut St # 1826",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191022737",
            "country_code": "US",
            "telephone_number": "706-641-0558",
            "fax_number": "470-552-2767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28A Rt. 17 North Ste 197 #102",
            "address_2": "Ste 197 #102",
            "address_purpose": "LOCATION",
            "city": "East Rutherford",
            "state": "NJ",
            "postal_code": "070730000",
            "country_code": "US",
            "telephone_number": "706-641-0558",
            "fax_number": "470-552-2767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Kocher Drive",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "VT",
            "postal_code": "052010000",
            "country_code": "US",
            "telephone_number": "706-616-0558",
            "fax_number": "470-552-2767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCASKEY",
        "first_name": "XAVIER",
        "middle_name": "MARQUIS",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "509630",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "GA- CPD0016",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0134348",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PCO13988",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "GA",
            "license": "839",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007918",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5476-R",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": "1118453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.