Active NPI
Columbus State University
- Counseling Psychologist
- Columbus, GA
National Provider Identifier
1588932503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 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
National Provider Directory
National Provider Directory- Tax ID family
- Columbus State University
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Student Health Clinic/Center
- Columbus, GA
- NPI 1811324296
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.