Organization Active NPI

Pinnacle Counseling Services

  • Community/Behavioral Health Agency
  • Valdosta, GA
National Provider Identifier
1508290099
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
004567 Issued in GA
Legal business name
PINNACLE COUNSELING SERVICES
Practice address
1205 Baytree Road #8
Valdosta, GA 31602
Phone
(229) 244-5533
Fax
(229) 253-9066
NPI assigned
Sep 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
Mr. Lee Tison Wade, LPCNPI 1174887483
Title
Ower
Phone
(229) 244-5533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 004567 GA Primary

Addresses

Primary practice location

1205 Baytree Road #8
Valdosta, GA 31602

Mailing address

1205 Baytree Road #8
Valdosta, GA 31602
Phone (229) 244-5533

Other identifiers 1

IdentifierTypeStateIssuer
003127123MedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1508290099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 BAYTREE ROAD #8",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-244-5533",
            "fax_number": "229-253-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 BAYTREE ROAD #8",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-244-5533",
            "fax_number": "229-253-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "TISON",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "229-244-5533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "004567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003127123",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.