Individual provider Active NPI

Lamanica Vinson, LPC

  • Professional Counselor
  • Rincon, GA
National Provider Identifier
1700216058
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007470 Issued in GA
Practice address
272 S Columbia Ave Ste 109
Rincon, GA 31326-9026
Phone
(912) 346-1795
NPI assigned
Nov 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC007470 GA Primary

Addresses

Primary practice location

272 S Columbia Ave Ste 109
Rincon, GA 31326-9026

Mailing address

7306 Highway 21
Suite 101-297
Port Wentworth, GA 31407
Phone (912) 346-1795

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

LicenseStateTypeSpecialty
LPC007470GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vinson'S Journey of Hope, LLC Professional CurrentSince Jun 26, 2022 Accepting new patients

Locations

7306 State Highway 21
Ste 101297
Port Wentworth, GA 31407

272 S Columbia Ave
Ste 109
Rincon, GA 31326
Phone (912) 346-1795

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1700216058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 HIGHWAY 21",
            "address_2": "SUITE 101-297",
            "city": "PORT WENTWORTH",
            "state": "GA",
            "postal_code": "31407",
            "telephone_number": "912-346-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 S COLUMBIA AVE STE 109",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313269026",
            "telephone_number": "912-346-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "LAMANICA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-23",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.