Organization Active NPI

Enlighten Behavioral Services

  • Community/Behavioral Health Agency
  • Albany, GA
National Provider Identifier
1528730561
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ENLIGHTEN BEHAVIORAL SERVICES
Practice address
2105 Nottingham Way Apt P5
Albany, GA 31707-2388
Phone
(229) 296-0222
NPI assigned
Sep 28, 2021
Last updated
Sep 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Alexus Taylor Newman, MA,RBT
Title
Registered Behavior Technician
Phone
(229) 296-0222

Specialties & licenses 1

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

Addresses

Primary practice location

2105 Nottingham Way Apt P5
Albany, GA 31707-2388

Mailing address

2105 Nottingham Way Apt P5
Albany, GA 31707-2388
Phone (229) 296-0222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1528730561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 NOTTINGHAM WAY APT P5",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072388",
            "telephone_number": "229-296-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 NOTTINGHAM WAY APT P5",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072388",
            "telephone_number": "229-296-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTEN BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "ALEXUS",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "REGISTERED BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "229-296-0222",
        "authorized_official_credential": "MA,RBT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.