Masterpieces Counseling and Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MASTERPIECES COUNSELING AND THERAPY LLC

Practice address

1736 W Gordon St
Valdosta, GA 31601-3017

Phone

(229) 262-7198

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Jimmy Jay L Watkins

Title

Member

Phone

(229) 262-7198

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Kimberly Evonne Hulett, LCSW

  • Clinical Social Worker
  • Valdosta, GA
  • NPI 1427751882
  NPD

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1215623442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 W GORDON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316013017",
            "telephone_number": "229-262-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 W GORDON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316013017",
            "telephone_number": "229-262-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERPIECES COUNSELING AND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JIMMY JAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "229-262-7198"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Montana Martin, DO
• Tedria L Martin, LMT, NT
• Jocelyne Martinez
• Nikole Martinez
• Amanda Mason, LCSW
• Cindy Mathis, LPC
• Jill Ann Matney
• Ansley Maurer, LMSW
• Douglas Courtney Maxwell, DMD
• Corne Maydell, M.D.

• Professional Counselor in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.