Organization Active NPI

Richmond Hill Family Counseling Center, PC

  • Clinical Social Worker
  • Richmond Hill, GA
National Provider Identifier
1124161195
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2781 Issued in GA
Legal business name
RICHMOND HILL FAMILY COUNSELING CENTER, PC
Practice address
128 Frances Meeks Way
Suite 7
Richmond Hill, GA 31324-3983
Phone
(912) 756-7505
Fax
(912) 756-7514
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karla J Hillen, LCSW
Title
Owner
Phone
(912) 756-7505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 2781 GA Primary

Addresses

Primary practice location

128 Frances Meeks Way
Suite 7
Richmond Hill, GA 31324-3983

Mailing address

128 Frances Meeks Way
Suite 7
Richmond Hill, GA 31324-3983
Phone (912) 756-7505

National Provider Directory

National Provider Directory

Locations

128 Frances Meeks Way
Ste 7
Richmond Hill, GA 31324
Phone (912) 756-7505

10385 Ford Ave
Ste 2
Richmond Hill, GA 31324
Phone (912) 756-7505

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124161195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FRANCES MEEKS WAY",
            "address_2": "SUITE 7",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243983",
            "telephone_number": "912-756-7505",
            "fax_number": "912-756-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FRANCES MEEKS WAY",
            "address_2": "SUITE 7",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243983",
            "telephone_number": "912-756-7505",
            "fax_number": "912-756-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND HILL FAMILY COUNSELING CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HILLEN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-756-7505",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "2781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.