Active NPI
Melody S Vogt, M.S., LPC
- Professional Counselor
- Statesboro, GA
National Provider Identifier
1295172567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC007068
- Practice address
- 58 East Main Street Ste. 1032
Statesboro, GA 30458 - Phone
- (912) 421-1890
- Fax
- (888) 834-4572
- NPI assigned
- May 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC007068 | GA | Primary |
Addresses
Primary practice location
58 East Main Street Ste. 1032
Statesboro, GA 30458
Mailing address
58 East Main Street Ste. 1032
Statesboro, GA 30458
Phone (912) 421-1890
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC007068 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1295172567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 EAST MAIN STREET STE. 1032",
"city": "STATESBORO",
"state": "GA",
"postal_code": "30458",
"telephone_number": "912-421-1890",
"fax_number": "888-834-4572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 EAST MAIN STREET STE. 1032",
"city": "STATESBORO",
"state": "GA",
"postal_code": "30458",
"telephone_number": "912-421-1890",
"fax_number": "888-834-4572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGT",
"first_name": "MELODY",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "M.S., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC007068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.