Active NPI
Timothy Robinson, LPC
- Professional Counselor
- Augusta, GA
National Provider Identifier
1114272820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004906
- Practice address
- 3421 Mike Padgett Hwy
Augusta, GA 30906-3815 - Phone
- (706) 432-7893
- Fax
- (706) 432-3780
- NPI assigned
- Jul 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC004906 | GA | Primary |
Addresses
Primary practice location
3421 Mike Padgett Hwy
Augusta, GA 30906-3815
Mailing address
3421 Mike Padgett Hwy
Augusta, GA 30906-3815
Phone (706) 432-7893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000606317B | Medicaid | GA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC004906 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Recovery Centers | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1467611129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1114272820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 MIKE PADGETT HWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063815",
"telephone_number": "706-432-7893",
"fax_number": "706-432-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 MIKE PADGETT HWY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309063815",
"telephone_number": "706-432-7893",
"fax_number": "706-432-3780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "TIMOTHY",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000606317B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.