Reginald J. Solomon, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

004292 Issued in GA

Practice address

175 Emery Hwy
Macon, GA 31217-3692

Phone

(478) 751-4446

Fax

(478) 751-4444

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• River Edge Behavioral Health Center

  • Community/Behavioral Health Agency
  • Macon, GA
  • NPI 1174512966
  Medicare reassignment NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1710074059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 EMERY HIGHWAY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31217",
            "telephone_number": "478-803-7678",
            "fax_number": "478-743-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 EMERY HWY",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173692",
            "telephone_number": "478-751-4446",
            "fax_number": "478-751-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "REGINALD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "004292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "004292",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camron Sohn, MD
• Olaolu Omotayo Soleye, M.D
• Rendi Latrice Solis, BSN, MSN, DHA
• Angela Solomon, LCSW
• Quintessa Lashonte' Solomon, LPC
• Shanela Solomon
• Sonare Hearing Aid Services, LLC
• Linda Sosebee, APRN, FNP-C
• Mary Elizabeth Soto, LMSW
• John Aziz Souma, M.D.

• Counselor in Macon, GA
• Providers in Macon, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.