Individual provider Active NPI

Tina Felice Ferg, LPC, NCC, CPCS, CFRC

  • Mental Health Counselor
  • Cumming, GA
National Provider Identifier
1265889513
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC009886 Issued in GA
Practice address
327 Dahlonega St Ste A101
Cumming, GA 30040-2481
Phone
(706) 872-2985
Fax
(470) 239-4119
NPI assigned
May 17, 2016
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC009886 GA Primary

Addresses

Primary practice location

327 Dahlonega St Ste A101
Cumming, GA 30040-2481

Mailing address

327 Dahlonega St Ste A101
Cumming, GA 30040-2481
Phone (470) 239-4119

Other practice location 1

307 Laurens St NW Unit 1625
Aiken, SC 29802-3970
Phone (470) 239-4119

Other identifiers 4

IdentifierTypeStateIssuer
LPC6936OtherSCSC PROFESSIONAL COUNSELOR LICENSE
003205680AMedicaidGA
14266875OtherGACAQH
LPC009886OtherGAGA PROFESSIONAL COUNSELOR LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC009886GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1265889513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 DAHLONEGA ST STE A101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402481",
            "telephone_number": "470-239-4119",
            "fax_number": "803-845-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 DAHLONEGA ST STE A101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402481",
            "telephone_number": "706-872-2985",
            "fax_number": "470-239-4119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Laurens St NW Unit 1625",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298023970",
            "country_code": "US",
            "telephone_number": "470-239-4119",
            "fax_number": "803-845-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERG",
        "first_name": "TINA",
        "middle_name": "FELICE",
        "credential": "LPC, NCC, CPCS, CFRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC PROFESSIONAL COUNSELOR LICENSE",
            "identifier": "LPC6936",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003205680A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14266875",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA PROFESSIONAL COUNSELOR LICENSE",
            "identifier": "LPC009886",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.