Organization Active NPI

Refocus Counseling and Consulting Services

  • Community/Behavioral Health Agency
  • Statesboro, GA
National Provider Identifier
1427412253
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC007713 Issued in GA
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

Updated by the provider on Apr 7, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.