Organization Active NPI

Robin W. Dunn, M.S., L.P.C., Inc.

  • Community/Behavioral Health Agency
  • Jasper, GA
National Provider Identifier
1275765992
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC001535 Issued in GA
Legal business name
ROBIN W. DUNN, M.S., L.P.C., INC.
Practice address
505 Cove Rd
Suite 3
Jasper, GA 30143-1363
Phone
(770) 548-1966
Fax
(706) 692-2221
NPI assigned
Aug 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Mr. Robin Wesley Dunn, M.S.NPI 1457343535
Title
Lic. Professional Counselor
Phone
(770) 548-1966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC001535 GA Primary

Addresses

Primary practice location

505 Cove Rd
Suite 3
Jasper, GA 30143-1363

Mailing address

505 Cove Rd
Suite 3
Jasper, GA 30143-1363
Phone (770) 548-1966

Other identifiers 1

IdentifierTypeStateIssuer
700781091AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231212003584 GA Part B Supplier - Clinic/Group Practice 6204285521 Receives reassigned benefits from 1 practitioner
Practice locations: Jasper, GA

National Provider Directory

National Provider Directory

Locations

505 Cove Rd
Ste 3
Jasper, GA 30143
Phone (770) 548-1966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1275765992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 COVE RD",
            "address_2": "SUITE 3",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431363",
            "telephone_number": "770-548-1966",
            "fax_number": "706-692-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COVE RD",
            "address_2": "SUITE 3",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431363",
            "telephone_number": "770-548-1966",
            "fax_number": "706-692-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN W. DUNN, M.S., L.P.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "LIC. PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "770-548-1966",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC001535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700781091A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.