Individual provider Active NPI

Mildred C Lapeza, CNS/PMH

  • Mental Health Counselor
  • Cordele, GA
National Provider Identifier
1609171818
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
077104 Issued in GA
Practice address
1335 N 5TH Street Ext
Cordele, GA 31015-3753
Phone
(229) 276-2367
NPI assigned
Jan 19, 2011
Last updated
Jan 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 077104 GA Primary

Addresses

Primary practice location

1335 N 5TH Street Ext
Cordele, GA 31015-3753

Mailing address

415 N Jackson St
PO Drawer 1348
Americus, GA 31709-3015
Phone (229) 931-2470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1609171818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N JACKSON ST",
            "address_2": "PO DRAWER 1348",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093015",
            "telephone_number": "229-931-2470",
            "fax_number": "229-931-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 N 5TH STREET EXT",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153753",
            "telephone_number": "229-276-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPEZA",
        "first_name": "MILDRED",
        "middle_name": "C",
        "credential": "CNS/PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "077104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordele, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.