Advanced Behavioral Health Services of Tifton

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ADVANCED BEHAVIORAL HEALTH SERVICES OF TIFTON

Practice address

16 Library LN
Tifton, GA 31794-4415

Phone

(229) 396-5885

NPI assigned

May 26, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Iverson, LCSW

Title

LCSW/Owner

Phone

(662) 242-0122

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Herrin, LCSW

  • Clinical Social Worker
  • Tifton, GA
  • NPI 1801444260
  NPD

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1134812134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LIBRARY LN",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944415",
            "telephone_number": "229-396-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LIBRARY LN",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944415",
            "telephone_number": "229-396-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL HEALTH SERVICES OF TIFTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "662-242-0122",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Activear, LLC
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• David W Adcock II, M.D.
• Sandra Ann Adcock, FNP-BC
• Bibina Adhikari
• Advent Properties, Inc.
• Affinis Hospice, LLC
• Affinity Health Group LLC
• Affinity Outpatient Services
• Affinity Pediatrics, LLC

• All providers in Tifton, GA
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.