Georgetown Counseling Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

4265 Issued in TX

Legal business name

GEORGETOWN COUNSELING SERVICES

Practice address

624 S Austin Ave
Ste 220
Georgetown, TX 78626-5707

Phone

(512) 869-1152

Fax

(512) 869-1145

NPI assigned

Jul 30, 2008

Last updated

Jul 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sandra R. Johnson

Title

Office Manager

Phone

(512) 773-6402

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara Myers Bolding, M.ED.

  • Addiction (Substance Use Disorder) Counselor
  • Georgetown, TX
  • NPI 1164567350
  NPD (past)

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1235395229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S AUSTIN AVE",
            "address_2": "STE 220",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265707",
            "telephone_number": "512-869-1152",
            "fax_number": "512-869-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S AUSTIN AVE",
            "address_2": "STE 220",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786265707",
            "telephone_number": "512-869-1152",
            "fax_number": "512-869-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-773-6402",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "4265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "455585",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "0077GD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgetown Acupuncture and Herbs
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• Georgetown Caregiving Company LLC
• Georgetown Dental Group PLLC
• Georgetown Diagnostic Imaging
• Georgetown DME LLC
• Georgetown Durable Medical Equipment, L.P.
• Georgetown Ear, Nose and Throat Center, PA

• Addiction (Substance Use Disorder) Counselor in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.