NPIMap

Organization Active NPI

Family Counseling Center of Central Ga., Inc.

  • Professional Counselor
  • Macon, GA
National Provider Identifier
1720358302
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005010 Issued in GA
Legal business name
FAMILY COUNSELING CENTER OF CENTRAL GA., INC.
Practice address
277 MLK Blvd Ste 203
Macon, GA 31201-3498
Phone
(478) 745-2811
Fax
(478) 745-0881
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Mr. Frank Mack, MPA
Title
Executive Director
Phone
(478) 745-2811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC005010 GA Primary

Addresses

Primary practice location

277 MLK Blvd Ste 203
Macon, GA 31201-3498

Mailing address

277 MLK Blvd Ste 203
Macon, GA 31201-3498
Phone (478) 745-2811

Other identifiers 1

IdentifierTypeStateIssuer
LPC005010OtherGALPC

National Provider Directory

National Provider Directory
Tax ID family
Family Counseling Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1720358302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 MLK BLVD STE 203",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013498",
            "telephone_number": "478-745-2811",
            "fax_number": "478-745-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 MLK BLVD STE 203",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013498",
            "telephone_number": "478-745-2811",
            "fax_number": "478-745-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING CENTER OF CENTRAL GA., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "478-745-2811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "LPC005010",
            "state": "GA"
        }
    ],
    "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 Jan 12, 2012; 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.