Active NPI
Refocus Counseling and Consulting Services
- Community/Behavioral Health Agency
- Statesboro, GA
National Provider Identifier
1427412253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPC007713
- Legal business name
- REFOCUS COUNSELING AND CONSULTING SERVICES
- Practice address
- 4325 Country Club
4
Statesboro, GA 30458 - Phone
- (912) 481-2123
- NPI assigned
- Apr 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tyhescia Johnson, L.P.C
- Title
- Professional Counselor
- Phone
- (912) 481-2123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPC007713 | GA | Primary |
Addresses
Primary practice location
4325 Country Club
4
Statesboro, GA 30458
Mailing address
4325 Country Club Rd
4
Statesboro, GA 30458-9052
Phone (912) 481-2123
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459987200000",
"number": "1427412253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 COUNTRY CLUB RD",
"address_2": "4",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304589052",
"telephone_number": "912-481-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 COUNTRY CLUB",
"address_2": "4",
"city": "STATESBORO",
"state": "GA",
"postal_code": "30458",
"telephone_number": "912-481-2123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFOCUS COUNSELING AND CONSULTING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-07",
"last_updated": "2016-04-07",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "TYHESCIA",
"authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "912-481-2123",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "L.P.C"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "LPC007713",
"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 Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.