Organization Active NPI

Diversified Consulting Services, LLC

  • Professional Counselor
  • Columbus, GA
National Provider Identifier
1700119864
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DIVERSIFIED CONSULTING SERVICES, LLC
Practice address
4445 Miller Rd
Columbus, GA 31909-4064
Phone
(706) 593-7852
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Robert AbeytaNPI 1114083177
Title
Licensed Professional Counselor
Phone
(706) 593-7852

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4445 Miller Rd
Columbus, GA 31909-4064

Mailing address

5234 Lakeshore Rd
Columbus, GA 31907-1914

Other identifiers 1

IdentifierTypeStateIssuer
000948087-AMedicaidGA

National Provider Directory

National Provider Directory

Locations

4445 Miller Rd
Columbus, GA 31909
Phone (706) 392-1908

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": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1700119864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5234 LAKESHORE RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319071914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 MILLER RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319094064",
            "telephone_number": "706-593-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "ABEYTA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL  COUNSELOR",
        "authorized_official_telephone_number": "706-593-7852"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000948087-A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.