Ellen Bargeron Therapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ELLEN BARGERON THERAPY, LLC

Practice address

1 Huntington Rd Ste 101
Athens, GA 30606-7205

Phone

(706) 309-4670

Fax

(855) 397-2530

NPI assigned

Jan 13, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Ellen F BargeronNPI 1427207950

Title

Ceo

Phone

(706) 309-4670

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ellen F Bargeron, LPC

  • Professional Counselor
  • Athens, GA
  • NPI 1427207950
  NPD Authorized official

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1386284883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 101",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067205",
            "telephone_number": "706-309-4670",
            "fax_number": "855-397-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 101",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067205",
            "telephone_number": "706-309-4670",
            "fax_number": "855-397-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN BARGERON THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "BARGERON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-309-4670",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Athens, GA
• Providers in Athens, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.