Active NPI
Peggy O'Cain, LPC
- Professional Counselor
- Kingsland, GA
National Provider Identifier
1609294487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC002223
- Practice address
- 100 Mariners Dr
Suite D
Kingsland, GA 31548-6667 - Phone
- (912) 510-0669
- Fax
- (912) 510-0754
- NPI assigned
- Mar 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC002223 | GA | Primary |
Addresses
Primary practice location
100 Mariners Dr
Suite D
Kingsland, GA 31548-6667
Mailing address
100 Mariners Dr
Suite D
Kingsland, GA 31548-6667
Phone (912) 510-0669
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC002223 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1609294487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MARINERS DR",
"address_2": "SUITE D",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486667",
"telephone_number": "912-510-0669",
"fax_number": "912-510-0754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MARINERS DR",
"address_2": "SUITE D",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315486667",
"telephone_number": "912-510-0669",
"fax_number": "912-510-0754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CAIN",
"first_name": "PEGGY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC002223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.