Individual provider Active NPI

Timothy Jay Strickland, M.ED., LPC, MAC,CCS

  • Professional Counselor
  • Metter, GA
National Provider Identifier
1467771212
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
005731 Issued in GA
Practice address
5 SW Broad St
Metter, GA 30439-4433
Phone
(912) 515-5026
Fax
(912) 785-2008
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 507450 GA
Professional Counselor 101YP2500X 005731 GA Primary

Addresses

Primary practice location

5 SW Broad St
Metter, GA 30439-4433

Mailing address

5 SW Broad St
Metter, GA 30439-4433
Phone (912) 515-5026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
507450GAMDAddiction (Substance Use Disorder) Counselor
005731GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Counseling Solutions, LLC Addiction (Substance Use Disorder) CurrentSince Mar 19, 2023 Accepting new patients
Creative Counseling Solutions, LLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

5 SW Broad St
Metter, GA 30439
Phone (912) 507-4883

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1467771212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SW BROAD ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304394433",
            "telephone_number": "912-515-5026",
            "fax_number": "912-785-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SW BROAD ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304394433",
            "telephone_number": "912-515-5026",
            "fax_number": "912-785-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "TIMOTHY",
        "middle_name": "JAY",
        "credential": "M.ED., LPC, MAC,CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "507450",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "005731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metter, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.