Active NPI
Rofael Watts, M.S., S/T, ACT
- Mental Health Counselor
- Camilla, GA
National Provider Identifier
1508273285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 198 S Macarthur Dr
Camilla, GA 31730-6370 - Phone
- (229) 336-2247
- Fax
- (229) 336-8009
- NPI assigned
- Jul 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
198 S Macarthur Dr
Camilla, GA 31730-6370
Mailing address
198 S Macarthur Dr
Camilla, GA 31730-6370
Phone (229) 336-2247
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)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1508273285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 S MACARTHUR DR",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317306370",
"telephone_number": "229-336-2247",
"fax_number": "229-336-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 S MACARTHUR DR",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317306370",
"telephone_number": "229-336-2247",
"fax_number": "229-336-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "ROFAEL",
"credential": "M.S., S/T, ACT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-15",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camilla, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.