Organization Active NPI

Connections Family Therapy, Inc

  • Community/Behavioral Health Agency
  • Saint Marys, GA
National Provider Identifier
1447616099
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
GAMFT001286 Issued in GA
Legal business name
CONNECTIONS FAMILY THERAPY, INC
Practice address
1712 Osborne Rd Ste F
Saint Marys, GA 31558-9103
Phone
(912) 510-9227
Fax
(912) 510-9228
NPI assigned
Jan 12, 2016
Last updated
Jan 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Mrs. Jennifer Lynn Williams, LMFT
Title
President
Phone
(912) 510-9227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X GAMFT001286 GA Primary

Addresses

Primary practice location

1712 Osborne Rd Ste F
Saint Marys, GA 31558-9103

Mailing address

1712 Osborne Rd Ste F
Saint Marys, GA 31558-9103
Phone (912) 510-9227

Other identifiers 1

IdentifierTypeStateIssuer
1104157569OtherGANPI

National Provider Directory

National Provider Directory

Locations

1712 Osborne Rd
Ste F
Saint Marys, GA 31558
Phone (912) 510-9227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1447616099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 OSBORNE RD STE F",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589103",
            "telephone_number": "912-510-9227",
            "fax_number": "912-510-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 OSBORNE RD STE F",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315589103",
            "telephone_number": "912-510-9227",
            "fax_number": "912-510-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-510-9227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "GAMFT001286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104157569",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.