NPIMap

Organization Active NPI

New Horizons CSB Stewart County C & a

  • Counselor
  • Richland, GA
National Provider Identifier
1225181779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
NEW HORIZONS CSB STEWART COUNTY C & A
Practice address
504 Depot St
Richland, GA 31825-1015
Phone
(229) 887-2180
Fax
(229) 887-2183
NPI assigned
Jan 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Perry Alexander
Title
Credentialing Coordinator
Phone
(706) 596-5582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

504 Depot St
Richland, GA 31825-1015

Mailing address

2100 Comer Ave
Columbus, GA 31904-8725
Phone (706) 596-5583

Other identifiers 1

IdentifierTypeStateIssuer
0006009381MedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
New Horizons Comm SVC B46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225181779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 COMER AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048725",
            "telephone_number": "706-596-5583",
            "fax_number": "706-596-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 DEPOT ST",
            "city": "RICHLAND",
            "state": "GA",
            "postal_code": "318251015",
            "telephone_number": "229-887-2180",
            "fax_number": "229-887-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS CSB STEWART COUNTY C & A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "706-596-5582"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006009381",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.