Active NPI
Connections Family Therapy, Inc
- Community/Behavioral Health Agency
- Saint Marys, GA
National Provider Identifier
1447616099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- GAMFT001286
- 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, 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. Jennifer Lynn Williams, LMFT
- Title
- President
- Phone
- (912) 510-9227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104157569 | Other | GA | NPI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Saint Marys, GA
- NPI 1487832127
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.