Organization Active NPI

West Georgia Counseling & Assessment Services

  • Community/Behavioral Health Agency
  • Lagrange, GA
National Provider Identifier
1114116829
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WEST GEORGIA COUNSELING & ASSESSMENT SERVICES
Practice address
98 Gordon Commercial Dr
Lagrange, GA 30240-5735
Phone
(706) 837-0045
Fax
(706) 837-0035
NPI assigned
Oct 18, 2007
Last updated
Oct 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Mr. Fred Matthew Farrar, M.EDNPI 1952672594
Title
Director
Phone
(706) 837-0045

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

98 Gordon Commercial Dr
Lagrange, GA 30240-5735

Mailing address

PO Box 4078
98 Gordon Commercial Drive
Lagrange, GA 30241-0082
Phone (706) 837-0045

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1114116829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4078",
            "address_2": "98 GORDON COMMERCIAL DRIVE",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302410082",
            "telephone_number": "706-837-0045",
            "fax_number": "706-837-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 GORDON COMMERCIAL DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405735",
            "telephone_number": "706-837-0045",
            "fax_number": "706-837-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA COUNSELING & ASSESSMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "FARRAR",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-837-0045",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.