Individual provider Active NPI

Corey M. Nadeau

  • Mental Health Counselor
  • Augusta, GA
National Provider Identifier
1720865207
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4145 Columbia Rd
Augusta, GA 30907-5400
Phone
(706) 869-7373
Fax
(706) 869-7380
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

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

Addresses

Primary practice location

4145 Columbia Rd
Augusta, GA 30907-5400

Mailing address

1819 Preservation Cir
Evans, GA 30809-0685
Phone (850) 252-0241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
First Focus Faith, LLC CurrentSince Aug 11, 2024 Accepting new patients
Georgia Family Crisis Solutions PastSince Aug 11, 2024 Accepting new patients
Family Counseling Center of the Csra, Inc. Mental Health PastSince Sep 1, 2023 Accepting new patients
Empower Counseling PLLC (Limited Co.) Clinical Past Accepting new patients

Locations

4145 Columbia Rd
Martinez, GA 30907
Phone (706) 524-3690

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1720865207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 PRESERVATION CIR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090685",
            "telephone_number": "850-252-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 COLUMBIA RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309075400",
            "telephone_number": "706-869-7373",
            "fax_number": "706-869-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "COREY",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": null,
            "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 Aug 5, 2024; 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.