Individual provider Active NPI

Joseph Keith Brewton, LMFT

  • Marriage & Family Therapist
  • Woodstock, GA
National Provider Identifier
1316546401
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001522 Issued in GA
Practice address
210 Creekstone RDG
Woodstock, GA 30188-3732
Phone
(770) 278-9459
NPI assigned
Oct 20, 2020
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001522 GA Primary

Addresses

Primary practice location

210 Creekstone RDG
Woodstock, GA 30188-3732

Mailing address

2116 Yorkshire CT
Woodstock, GA 30189-5223
Phone (678) 646-8547

Other practice location 1

2116 Yorkshire Ct
Woodstock, GA 30189-5223
Phone (678) 646-8547 ext. 67864

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
MFT001522GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquility Counseling Services, LLC Single Specialty CurrentSince May 9, 2021 Accepting new patients

Locations

210 Creekstone Rdg
Woodstock, GA 30188
Phone (678) 227-2593

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1316546401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 YORKSHIRE CT",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895223",
            "telephone_number": "678-646-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CREEKSTONE RDG",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883732",
            "telephone_number": "770-278-9459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2116 Yorkshire Ct",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301895223",
            "country_code": "US",
            "telephone_number": "678-646-8547 x67864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWTON",
        "first_name": "JOSEPH",
        "middle_name": "KEITH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.