Individual provider Active NPI

Tony Langstaff

  • Marriage & Family Therapist
  • Carmel, IN
National Provider Identifier
1144765363
Registry record updated Oct 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001507 Issued in GA
Practice address
722 High Dr
Carmel, IN 46033-3079
Phone
(229) 630-5056
NPI assigned
Dec 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001507 GA Primary

Addresses

Primary practice location

722 High Dr
Carmel, IN 46033-3079

Mailing address

722 High Dr
Carmel, IN 46033-3079
Phone (229) 630-5056

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
MFT001507GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Counseling Solutions, LLC Marriage & Family Therapist CurrentSince Aug 28, 2022 Accepting new patients

Locations

2704 N Oak St
Bldg L
Valdosta, GA 31602
Phone (229) 671-1461

Organizations & group practices 1

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": "1482537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697241600000",
    "number": "1144765363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 HIGH DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460333079",
            "telephone_number": "229-630-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 HIGH DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460333079",
            "telephone_number": "229-630-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTAFF",
        "first_name": "TONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-24",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.