Active NPI
Kathlyn Wohlrabe, LMFT
- Marriage & Family Therapist
- Macon, GA
National Provider Identifier
1184271561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT001722
- Practice address
- 3780 Eisenhower Pkwy
Macon, GA 31206-0800 - Phone
- (478) 633-5500
- Fax
- (478) 784-5496
- NPI assigned
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT000508 | GA | |
| Marriage & Family Therapist | 106H00000X | MFT001722 | GA | Primary |
Addresses
Primary practice location
3780 Eisenhower Pkwy
Macon, GA 31206-0800
Mailing address
3780 Eisenhower Pkwy
Macon, GA 31206-0800
Phone (478) 633-5500
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT000508 | GA | MD | Marriage & Family Therapist |
| MFT001722 | GA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services of Central Georgia, Inc | Current | Accepting new patients | |
| The Medical Center of Central Georgia Inc | Past | Accepting new patients |
Locations
3780 Eisenhower Pkwy
Ste 1
Macon, GA 31206
Phone (478) 633-5500
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605225600000",
"number": "1184271561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3780 EISENHOWER PKWY",
"city": "MACON",
"state": "GA",
"postal_code": "312060800",
"telephone_number": "478-633-5500",
"fax_number": "478-784-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3780 EISENHOWER PKWY",
"city": "MACON",
"state": "GA",
"postal_code": "312060800",
"telephone_number": "478-633-5500",
"fax_number": "478-784-5496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOHLRABE",
"first_name": "KATHLYN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-21",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "AMFT000508",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.