Active NPI
Eboni Robinson, LPC
- Mental Health Counselor
- Brunswick, GA
National Provider Identifier
1669825014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC007640
- Practice address
- 700 Coastal Village Dr
Brunswick, GA 31520-1974 - Phone
- (912) 554-8400
- Fax
- (912) 265-2683
- NPI assigned
- Jul 21, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC007640 | GA | Primary |
Addresses
Primary practice location
700 Coastal Village Dr
Brunswick, GA 31520-1974
Mailing address
700 Coastal Village Dr
Brunswick, GA 31520-1974
Phone (912) 554-8400
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 |
|---|---|---|---|
| LPC007640 | GA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1669825014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 COASTAL VILLAGE DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315201974",
"telephone_number": "912-554-8400",
"fax_number": "912-265-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 COASTAL VILLAGE DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315201974",
"telephone_number": "912-554-8400",
"fax_number": "912-265-2683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "EBONI",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC007640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.