Organization Active NPI

Edm Counseling and Professional Development

  • Mental Health Counselor
  • Warner Robins, GA
National Provider Identifier
1568034825
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EDM COUNSELING AND PROFESSIONAL DEVELOPMENT
Practice address
126 Regency CT
Warner Robins, GA 31088-9198
Phone
(321) 866-8236
NPI assigned
Jul 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
Erin Dudley Mitchell, LPC
Title
Owner
Phone
(321) 866-8236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

126 Regency CT
Warner Robins, GA 31088-9198

Mailing address

126 Regency CT
Warner Robins, GA 31088-9198
Phone (321) 866-8236

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL edmcounseling.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1568034825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 REGENCY CT",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889198",
            "telephone_number": "321-866-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 REGENCY CT",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889198",
            "telephone_number": "321-866-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDM COUNSELING AND PROFESSIONAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "DUDLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-866-8236",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "edmcounseling.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "126 Regency Ct",
            "city": "Warner Robins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310889198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.