Active NPI
Southeastern Counseling Center, Inc.
- Professional Counselor
- Rincon, GA
National Provider Identifier
1144555202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004615
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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,LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600030703 | Other | GA | MAGELLAN |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Professional Counselor
- Rincon, GA
- NPI 1184782385
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.