Individual provider Active NPI

Christy Coogle Hubbard, LPC

  • Professional Counselor
  • Columbus, GA
National Provider Identifier
1144757345
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009586 Issued in GA
Practice address
1329 Wynnton Rd
Columbus, GA 31906-2919
Phone
(404) 783-0804
Fax
(404) 783-0804
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC009586 GA Primary

Addresses

Primary practice location

1329 Wynnton Rd
Columbus, GA 31906-2919

Mailing address

1329 Wynnton Rd
Columbus, GA 31906-2919
Phone (404) 783-0804

Other practice location 1

2022 15th Ave
Columbus, GA 31901-1608
Phone (706) 649-6507 ext. 1217

Other names 1

  • Christy Bailey Coogle Former name

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

LicenseStateTypeSpecialty
LPC009586GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway LLC Current Accepting new patients
Pastoral Institute, Inc Professional PastSince Aug 27, 1999 Accepting new patients
St Francis Health LLC Past Accepting new patients

Locations

1329 Wynnton Rd
Columbus, GA 31906
Phone (404) 783-0804

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144757345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 WYNNTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062919",
            "telephone_number": "404-783-0804",
            "fax_number": "706-940-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 WYNNTON RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062919",
            "telephone_number": "404-783-0804",
            "fax_number": "404-783-0804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2022 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319011608",
            "country_code": "US",
            "telephone_number": "706-649-6507 x1217",
            "fax_number": "706-649-6521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "CHRISTY",
        "middle_name": "COOGLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "COOGLE",
            "middle_name": "BAILEY",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.