NPIMap

Organization Active NPI

Epiphany Counseling Guidance and Treatment Services

  • Mental Health Counselor
  • Augusta, GA
National Provider Identifier
1720477284
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14-000385 Issued in GA
Legal business name
EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICES
Practice address
3112 Washington Rd
Augusta, GA 30907-0811
Phone
(678) 788-7400
Fax
(678) 954-6896
NPI assigned
Jan 21, 2015
Last updated
Feb 2, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Denise Dixon
Title
Owner
Phone
(678) 788-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14-000385 GA Primary

Addresses

Primary practice location

3112 Washington Rd
Augusta, GA 30907-0811

Mailing address

8484 Highway 85
Jonesboro, GA 30238-4308
Phone (678) 788-7400

National Provider Directory

National Provider Directory
Tax ID family
Epiphany Counseling Guid3 organizations share this tax ID, including this one
Part of
Epiphany Counseling Guid

Other organizations with this tax ID 2

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

Locations

8484 Highway 85
Jonesboro, GA 30238
Phone (470) 786-1831

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1720477284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 HIGHWAY 85",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384308",
            "telephone_number": "678-788-7400",
            "fax_number": "678-954-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 WASHINGTON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070811",
            "telephone_number": "678-788-7400",
            "fax_number": "678-954-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPIPHANY COUNSELING GUIDANCE AND TREATMENT SERVICES",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-788-7400"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "14-000385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.