John Widener, LPC, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC011205 Issued in GA

Practice address

125 E Monroe St
Thomasville, GA 31792-5142

Phone

(678) 577-8795

Fax

(404) 860-2111

NPI assigned

Aug 6, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1470441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1467906537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MONROE ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925142",
            "telephone_number": "678-577-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E MONROE ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925142",
            "telephone_number": "678-577-8795",
            "fax_number": "404-860-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDENER",
        "first_name": "JOHN",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-06",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001705",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Edward Whalen Jr., MD
• Minerva C Wheedleton, M.D.
• Wheelchair Biomechanix
• Jessica Goggins White, PNP
• Tara S. White, SLP
• Wilcare Homecare
• Angela Altman Willers, LCSW
• William McFatter III DDS PC
• Lorraine M Williams-Rahming, M.D.
• Alicia Jordyn Williams

• Mental Health Counselor in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.