Individual provider Active NPI

James William Eubanks, LMFT, LPC

  • Marriage & Family Therapist
  • Woodstock, GA
National Provider Identifier
1497283089
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001432 Issued in GA
Practice address
3380 Trickum Rd BLDG 700
Woodstock, GA 30188-3680
Phone
(770) 591-4770
NPI assigned
May 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC009027 GA
Marriage & Family Therapist 106H00000X MFT001432 GA Primary

Addresses

Primary practice location

3380 Trickum Rd BLDG 700
Woodstock, GA 30188-3680

Mailing address

2172 E Cherokee Dr
Woodstock, GA 30188-1776
Phone (678) 400-4892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC009027GAMDProfessional Counselor
MFT001432GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Baptist Church of Woodstock, Inc CurrentSince Mar 30, 2025 Accepting new patients

Locations

3380 Trickum Rd
Bldg 700
Woodstock, GA 30188
Phone (770) 591-4770

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1497283089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 E CHEROKEE DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301881776",
            "telephone_number": "678-400-4892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 TRICKUM RD BLDG 700",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883680",
            "telephone_number": "770-591-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009027",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.