Active NPI
Lynns Counseling & Consulting Services LLC
- Clinical Social Worker
- Dublin, GA
National Provider Identifier
1104295401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004684
- Legal business name
- LYNNS COUNSELING & CONSULTING SERVICES LLC
- Practice address
- 212 W Jackson St
Suite a
Dublin, GA 31021-6100 - Phone
- (478) 304-5233
- NPI assigned
- Sep 17, 2015
- 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
- Cheryl Lynn, LCSW
- Title
- Owner/Ceo
- Phone
- (478) 290-0560
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW004684 | GA | Primary |
Addresses
Primary practice location
212 W Jackson St
Suite a
Dublin, GA 31021-6100
Mailing address
212 W Jackson St
Suite a
Dublin, GA 31021-6100
Phone (478) 304-5233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160229000223 | GA | Part B Supplier - Clinic/Group Practice | 8628373719 |
Receives reassigned benefits from 1 practitioner Practice locations: Dublin, GA |
National Provider Directory
National Provider DirectoryLocations
212 W Jackson St
Ste A
Dublin, GA 31021
Phone (478) 277-3765
314 Oak St
Eastman, GA 31023
Phone (478) 290-0560
Practitioners & affiliated clinicians
Practitioners 1
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": "1442448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454457600000",
"number": "1104295401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 W JACKSON ST",
"address_2": "SUITE A",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310216100",
"telephone_number": "478-304-5233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W JACKSON ST",
"address_2": "SUITE A",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310216100",
"telephone_number": "478-304-5233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNNS COUNSELING & CONSULTING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-17",
"last_updated": "2016-02-03",
"status": "A",
"authorized_official_last_name": "LYNN",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "478-290-0560",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.