Active NPI
The McCray Center, LLC
- Professional Counselor
- Albany, GA
National Provider Identifier
1255697017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006221
- Legal business name
- THE MCCRAY CENTER, LLC
- Practice address
- 1216 Dawson Rd
Suite 209
Albany, GA 31707-3889 - Phone
- (229) 317-4901
- Fax
- (229) 317-4902
- NPI assigned
- Apr 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James J McCray, LPC
- Title
- Clinical Director
- Phone
- (229) 317-4901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC006221 | GA | Primary |
Addresses
Primary practice location
1216 Dawson Rd
Suite 209
Albany, GA 31707-3889
Mailing address
1216 Dawson Rd
Suite 209
Albany, GA 31707-3889
Phone (229) 317-4901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003106438A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1216 Dawson Rd
Ste 209
Albany, GA 31707
Phone (229) 317-4901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333584000000",
"number": "1255697017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 DAWSON RD",
"address_2": "SUITE 209",
"city": "ALBANY",
"state": "GA",
"postal_code": "317073889",
"telephone_number": "229-317-4901",
"fax_number": "229-317-4902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 DAWSON RD",
"address_2": "SUITE 209",
"city": "ALBANY",
"state": "GA",
"postal_code": "317073889",
"telephone_number": "229-317-4901",
"fax_number": "229-317-4902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MCCRAY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-05",
"last_updated": "2012-04-05",
"status": "A",
"authorized_official_last_name": "MCCRAY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "229-317-4901",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003106438A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.