NPIMap

Organization Active NPI

Epiphany Counseling Guidance and Treatment Services

  • Clinical Social Worker
  • Jonesboro, GA
National Provider Identifier
1174955918
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICES
Practice address
8482 Highway 85
Ste a
Jonesboro, GA 30238-4308
Phone
(678) 304-8677
Fax
(678) 954-6896
NPI assigned
Aug 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Denise Dixon
Title
Owner
Phone
(678) 788-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8482 Highway 85
Ste a
Jonesboro, GA 30238-4308

Mailing address

8482 Highway 85
Ste a
Jonesboro, GA 30238-4308
Phone (678) 788-7400

National Provider Directory

National Provider Directory

Locations

8482 Highway 85
Ste A
Jonesboro, GA 30238
Phone (678) 304-8677

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1174955918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8482 HIGHWAY 85",
            "address_2": "STE A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384308",
            "telephone_number": "678-788-7400",
            "fax_number": "678-954-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8482 HIGHWAY 85",
            "address_2": "STE A",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384308",
            "telephone_number": "678-304-8677",
            "fax_number": "678-954-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-04",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-788-7400"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.