Organization Active NPI

Black Therapy Collective LLC

  • Clinical Social Worker
  • Augusta, GA
National Provider Identifier
1639028558
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLACK THERAPY COLLECTIVE LLC
Practice address
2101 Bonnie PL
Augusta, GA 30906-5021
Phone
(706) 447-9623
NPI assigned
Jan 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Capus Patton BarnettNPI 1720662554
Title
Owner / Managing Member
Phone
(706) 447-9623

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2101 Bonnie PL
Augusta, GA 30906-5021

Mailing address

246 Robert C Daniel Jr Pkwy # 1127
Augusta, GA 30909-0803
Phone (706) 447-9623

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1639028558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 ROBERT C DANIEL JR PKWY # 1127",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090803",
            "telephone_number": "706-447-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BONNIE PL",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309065021",
            "telephone_number": "706-447-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK THERAPY COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "CAPUS",
        "authorized_official_middle_name": "PATTON",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "706-447-9623"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.