Lumina Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

LUMINA COUNSELING LLC

Practice address

5805 Georgia Highway 21 S Ste 204
Rincon, GA 31326-5511

Phone

(912) 633-9414

Fax

(912) 812-0053

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Denise Coffee, LPC, NCC, CCMHCNPI 1598241622

Title

Owner

Phone

(912) 633-9414

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Denise Coffee, LPC, NCC, CCMHC

  • Counselor
  • Rincon, GA
  • NPI 1598241622
  NPD Authorized official

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1376367607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 GEORGIA HIGHWAY 21 S STE 204",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265511",
            "telephone_number": "912-633-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 GEORGIA HIGHWAY 21 S STE 204",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265511",
            "telephone_number": "912-633-9414",
            "fax_number": "912-812-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "COFFEE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-633-9414",
        "authorized_official_credential": "LPC, NCC, CCMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Simone' Long, M.ED CCC-SLP
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• Counselor in Rincon, GA
• Providers in Rincon, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.