Organization Active NPI

Columbus State University

  • Counseling Psychologist
  • Columbus, GA
National Provider Identifier
1588932503
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
COLUMBUS STATE UNIVERSITY
Doing business as
CSU - The Counseling Center
Practice address
4225 University Ave
Schuster Center
Columbus, GA 31907-5679
Phone
(706) 507-8740
Fax
(706) 507-8753
NPI assigned
Dec 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Ms. Lisa J Brown, CPMSM
Title
Credentialing Director
Phone
(469) 735-4555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

4225 University Ave
Schuster Center
Columbus, GA 31907-5679

Mailing address

PO Box 168007
Irving, TX 75016-8007
Phone (469) 735-4555

Other names 1

  • CSU - The Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Columbus State University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4225 University Ave
Columbus, GA 31907
Phone (706) 507-8620

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1588932503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168007",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750168007",
            "telephone_number": "469-735-4555",
            "fax_number": "469-735-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 UNIVERSITY AVE",
            "address_2": "SCHUSTER CENTER",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075679",
            "telephone_number": "706-507-8740",
            "fax_number": "706-507-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "469-735-4555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPMSM"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSU - The Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.