Organization Active NPI

Southeastern Counseling Center, Inc.

  • Professional Counselor
  • Rincon, GA
National Provider Identifier
1144555202
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004615 Issued in GA
Legal business name
SOUTHEASTERN COUNSELING CENTER, INC.
Practice address
812 Towne Park Dr., Unit 400
Rincon, GA 31326-0667
Phone
(912) 826-1145
Fax
(912) 826-1245
NPI assigned
Oct 7, 2009
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Mrs. Teresa Lynn Oglesbee, ED.S.,NBCC,LPCNPI 1184782385
Title
Therapist/Owner
Phone
(912) 826-1145

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
Professional Counselor 101YP2500X LPC004615 GA Primary

Addresses

Primary practice location

812 Towne Park Dr., Unit 400
Rincon, GA 31326-0667

Mailing address

P.O. Box 667
Rincon, GA 31326-0667
Phone (912) 826-1145

Other identifiers 1

IdentifierTypeStateIssuer
600030703OtherGAMAGELLAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1144555202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 667",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313260667",
            "telephone_number": "912-826-1145",
            "fax_number": "912-826-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 TOWNE PARK DR., UNIT 400",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313260667",
            "telephone_number": "912-826-1145",
            "fax_number": "912-826-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "OGLESBEE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "912-826-1145",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ED.S.,NBCC,LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600030703",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.