Organization Active NPI

Enhance Behavioral Health, LLC

  • Mental Health Counselor
  • Macon, GA
National Provider Identifier
1518445014
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3852 Issued in GA
Legal business name
ENHANCE BEHAVIORAL HEALTH, LLC
Practice address
3083 Vineville Ave
Macon, GA 31204-2460
Phone
(478) 258-7798
Fax
(888) 536-0360
NPI assigned
Aug 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Authorized official

Name
Myrana CraigNPI 1518633635
Title
Director
Phone
(478) 258-7798

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 3852 GA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X APC006446 GA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 3852 GA Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 3153 GA

Addresses

Primary practice location

3083 Vineville Ave
Macon, GA 31204-2460

Mailing address

141 Wolf Creek Dr N
Macon, GA 31210-9002
Phone (478) 955-9779

National Provider Directory

National Provider Directory

Locations

3083 Vineville Ave
Macon, GA 31204
Phone (478) 258-7798

Practitioners & affiliated clinicians

Practitioners 1

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": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1518445014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WOLF CREEK DR N",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312109002",
            "telephone_number": "478-955-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3083 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042460",
            "telephone_number": "478-258-7798",
            "fax_number": "888-536-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "MYRANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "478-258-7798"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "3852",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC006446",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "3852",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "3153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.