Vicki Johnson Alston, LAPC
Individual provider Active NPI Mental Health Counselor · Columbus, GA
NPI 1447435565 · NPPES record last updated Jan 8, 2008
Key facts
- NPI
- 1447435565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- APC001619 (GA)
- Practice address
- 1684 Breeds Hill Loop
Columbus, GA 31907-6737 - Phone
- (706) 689-0209
- Fax
- (706) 689-0209
- NPI assigned
- Jan 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC001619 | GA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingdom of God Christian Center Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | APC001619 | GA | |
| Mental Health Counselor | 101YM0800X | APC001619 | GA | Yes |
| Pastoral Counselor | 101YP1600X | APC001619 | GA | |
| Professional Counselor | 101YP2500X | APC001619 | GA |
Addresses
Primary practice location
1684 Breeds Hill Loop
Columbus, GA 31907-6737
Mailing address
1684 Breeds Hill Loop
Columbus, GA 31907-6737
Phone (706) 689-0209
NPI Registry JSON
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199750400000",
"number": "1447435565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1684 BREEDS HILL LOOP",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319076737",
"telephone_number": "706-689-0209",
"fax_number": "706-689-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1684 BREEDS HILL LOOP",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319076737",
"telephone_number": "706-689-0209",
"fax_number": "706-689-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSTON",
"first_name": "VICKI",
"middle_name": "JOHNSON",
"name_prefix": "Mrs.",
"credential": "LAPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "APC001619",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC001619",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "GA",
"license": "APC001619",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC001619",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
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- Faris Alnezary
- Hajar Alqahtani
- Samantha Diane Alrridge
- Ricardo Banjamin Alvarez
- Always Caring Medical Service
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- Ella Cecilia Amador
- Juan R Amador
All providers in Columbus, GA · Mental Health Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.