Organization Active NPI

Pacifica Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Macon, GA
National Provider Identifier
1194501569
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PACIFICA COUNSELING LLC
Practice address
2607 Vineville Ave Ste 205
Macon, GA 31204-0901
Phone
(678) 939-6601
NPI assigned
Sep 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Dr. Hanna Watson Cespedes, PH.D
Title
Owner and Lead Therapist
Phone
(678) 939-6601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2607 Vineville Ave Ste 205
Macon, GA 31204-0901

Mailing address

2607 Vineville Ave Ste 205
Macon, GA 31204-0901
Phone (678) 939-6601

Other practice location 1

5960 Crooked Creek Rd Ste 200M
Norcross, GA 30092-6234
Phone (678) 939-6601

National Provider Directory

National Provider Directory

Locations

2607 Vineville Ave
Ste 205
Macon, GA 31204
Phone (678) 939-6601

5960 Crooked Creek Rd
Ste 200M
Norcross, GA 30092
Phone (678) 939-6601

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": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1194501569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 VINEVILLE AVE STE 205",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312040901",
            "telephone_number": "678-939-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 VINEVILLE AVE STE 205",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312040901",
            "telephone_number": "678-939-6601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5960 Crooked Creek Rd Ste 200M",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300926234",
            "country_code": "US",
            "telephone_number": "678-939-6601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFICA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "CESPEDES",
        "authorized_official_first_name": "HANNA",
        "authorized_official_middle_name": "WATSON",
        "authorized_official_title_or_position": "OWNER AND LEAD THERAPIST",
        "authorized_official_telephone_number": "678-939-6601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 Sep 1, 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.