Individual provider Active NPI

Linda B Titus, LMFT NCACII

  • Marriage & Family Therapist
  • Brunswick, GA
National Provider Identifier
1699782383
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
720 Issued in GA
Practice address
106 Shoppers Way Ste 115
Brunswick, GA 31525-0522
Phone
(912) 265-7660
Fax
(912) 265-7858
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 602 GA
Addiction (Substance Use Disorder) Counselor 101YA0400X NAADAC12341
Psychologist 103T00000X 720 GA
Marriage & Family Therapist 106H00000X 720 GA Primary

Addresses

Primary practice location

106 Shoppers Way Ste 115
Brunswick, GA 31525-0522

Mailing address

106 Shoppers Way Ste 115
Brunswick, GA 31525-0522
Phone (912) 265-7660

Other identifiers 1

IdentifierTypeStateIssuer
11511760OtherGACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709004722 GA Practitioner - Marriage and Family Therapist 9739624206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 Shoppers Way
Suite 115
Brunswick, GA 31525-0522
Phone (912) 265-7660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
602GAMDAddiction (Substance Use Disorder) Counselor
720GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Coaching Training & Consulting LLC Marriage & Family Therapist CurrentSince May 13, 2024 Accepting new patients

Locations

106 Shoppers Way
Ste 115
Brunswick, GA 31525
Phone (912) 265-7660

1712 Osborne Rd
Ste A
Saint Marys, GA 31558
Phone (912) 882-5515

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1699782383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SHOPPERS WAY STE 115",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250522",
            "telephone_number": "912-265-7660",
            "fax_number": "912-265-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SHOPPERS WAY STE 115",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250522",
            "telephone_number": "912-265-7660",
            "fax_number": "912-265-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITUS",
        "first_name": "LINDA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LMFT NCACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "602",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "NAADAC12341",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "720",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11511760",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.