NPIMap

Organization Active NPI

Emerald Behavioral and Hypnosis Services

  • Professional Counselor
  • Dublin, GA
National Provider Identifier
1720458276
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
EMERALD BEHAVIORAL AND HYPNOSIS SERVICES
Practice address
212 W Jackson St
Ste a
Dublin, GA 31021-6100
Phone
(478) 331-9624
Fax
(478) 304-5234
NPI assigned
Sep 28, 2015
Last updated
Sep 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Wendy Mason, LPC
Title
Owner
Phone
(478) 331-9624

Specialties & licenses 1

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

Addresses

Primary practice location

212 W Jackson St
Ste a
Dublin, GA 31021-6100

Mailing address

212 W Jackson St
Ste a
Dublin, GA 31021-6100
Phone (478) 331-9624

National Provider Directory

National Provider Directory
Tax ID family
Emerald Behavioral and Hypnosis Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1720458276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W JACKSON ST",
            "address_2": "STE A",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216100",
            "telephone_number": "478-331-9624",
            "fax_number": "478-304-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W JACKSON ST",
            "address_2": "STE A",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216100",
            "telephone_number": "478-331-9624",
            "fax_number": "478-304-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD BEHAVIORAL AND HYPNOSIS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-331-9624",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.