Organization Active NPI

Blue Cedar Counseling

  • Marriage & Family Therapist
  • Macon, GA
National Provider Identifier
1710487269
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BLUE CEDAR COUNSELING
Practice address
3263 Vineville Ave
Macon, GA 31204-2343
Phone
(478) 714-7189
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Anthony Bruce Conn, LMFT
Title
Owner
Phone
(478) 714-7189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3263 Vineville Ave
Macon, GA 31204-2343

Mailing address

3263 Vineville Ave
Macon, GA 31204-2343
Phone (478) 714-7189

National Provider Directory

National Provider Directory

Locations

3263 Vineville Ave
Macon, GA 31204
Phone (478) 714-7189

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1710487269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042343",
            "telephone_number": "478-714-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042343",
            "telephone_number": "478-714-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CEDAR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "CONN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-714-7189",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.