NPIMap

Organization Active NPI

Athens Pastoral Counseling Dba Samaritan Counseling Center

  • Professional Counselor
  • Athens, GA
National Provider Identifier
1285732784
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ATHENS PASTORAL COUNSELING DBA SAMARITAN COUNSELING CENTER
Practice address
455 N Lumpkin St
Athens, GA 30601-2744
Phone
(706) 369-7911
Fax
(706) 208-9509
NPI assigned
Sep 20, 2006
Last updated
Oct 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Mr. Thomas G. Camp, M.DIV., M.S.NPI 1750597316
Title
Executive Director
Phone
(706) 369-7911

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

455 N Lumpkin St
Athens, GA 30601-2744

Mailing address

455 N Lumpkin St
Athens, GA 30601-2744
Phone (706) 369-7911

National Provider Directory

National Provider Directory

Locations

455 N Lumpkin St
Athens, GA 30601
Phone (706) 369-7911

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1285732784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N LUMPKIN ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012744",
            "telephone_number": "706-369-7911",
            "fax_number": "706-208-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N LUMPKIN ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012744",
            "telephone_number": "706-369-7911",
            "fax_number": "706-208-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS PASTORAL COUNSELING DBA SAMARITAN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-369-7911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.DIV., M.S."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.