Ervin N/a Briones, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC007205 Issued in GA

Practice address

1552 Long Acre Dr
Macon, GA 31204-4924

Phone

(678) 755-1221

NPI assigned

Nov 17, 2017

Last updated

Nov 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCG Eap Services IncGroup PAC ID 0749562619, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MCG Eap Services, Inc.

  dba Southern Behavioral Services

  • Professional Counselor
  • Macon, GA
  • NPI 1700839735
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1265946974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 LONG ACRE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312044924",
            "telephone_number": "678-755-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 LONG ACRE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312044924",
            "telephone_number": "678-755-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIONES",
        "first_name": "ERVIN",
        "middle_name": "N/A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC007205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brightercare Group LLC
• Brighthope Enterprises (Brighthope Counseling)
• Quitman John Brigmond Jr., LPC
• Brilliance Anesthesia
• Foster Blake Brin, M.D.
• Andres Brito
• Candace Marie Britt
• Michelle K Broach, CRNA
• Jonathan Russell Brock, M.D.
• Paris Bailey Brock, MD

• Mental Health Counselor in Macon, GA
• Providers in Macon, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.