Jamie Eileen Tillit, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004039 Issued in GA

Practice address

109 Osigian Blvd Ste 400
Warner Robins, GA 31088-8925

Phone

(478) 449-1475

Fax

(877) 712-4794

NPI assigned

Jul 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Specialty

Mental Health Counselor

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Georgia Behavioral Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Warner Robins, GA
  • NPI 1861931172
  Medicare reassignment NPD

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1528612876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OSIGIAN BLVD STE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888925",
            "telephone_number": "478-449-1475",
            "fax_number": "877-712-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 OSIGIAN BLVD STE 400",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888925",
            "telephone_number": "478-449-1475",
            "fax_number": "877-712-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLIT",
        "first_name": "JAMIE",
        "middle_name": "EILEEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "004039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobby D Thompson, MD
• Elizabeth Delores Thompson, PA-C
• Jessica Thompson, OTR/L
• Kimberly Thrower
• Rex Wallace Tidwell, M.D.
• TLB Residential Treatment Services, Inc.
• TLB Residential Treatment Services, Inc.
• TLC of Georgia LLC
• Alain Daniel Toland, D.O
• Shaniah Tolbert

• Professional Counselor in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.