NPIMap

Organization Active NPI

Georgia Behavioral Counseling, LLC

  • Professional Counselor
  • Warner Robins, GA
National Provider Identifier
1366122426
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GEORGIA BEHAVIORAL COUNSELING, LLC
Practice address
106 Patriot Way
Warner Robins, GA 31088-5653
Phone
(910) 689-5180
NPI assigned
Jul 24, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Darla Jackson, LPCNPI 1205233863
Title
Ceo
Phone
(910) 689-5190

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

106 Patriot Way
Warner Robins, GA 31088-5653

Mailing address

PO Box 46
Kathleen, GA 31047-0046

National Provider Directory

National Provider Directory

Locations

106 Patriot Way
Warner Robins, GA 31088
Phone (478) 333-2182

Practitioners & affiliated clinicians

Practitioners 1

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": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1366122426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310470046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PATRIOT WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885653",
            "telephone_number": "910-689-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA BEHAVIORAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-689-5190",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.