Active NPI
Jean Geherin Hatt
- Professional Counselor
- Warner Robins, GA
National Provider Identifier
1730629908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC011799
- Practice address
- 109 Osigian Blvd Ste 400
Warner Robins, GA 31088-8925 - Phone
- (478) 449-1475
- NPI assigned
- Mar 7, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LH60795987 | WA | |
| Mental Health Counselor | 101YM0800X | CG60727330 | WA | |
| Professional Counselor | 101YP2500X | LPC011799 | GA | Primary |
Addresses
Primary practice location
109 Osigian Blvd Ste 400
Warner Robins, GA 31088-8925
Mailing address
109 Osigian Blvd Ste 400
Warner Robins, GA 31088-8925
Phone (478) 449-1475
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60727330 | WA | MD | Mental Health Counselor |
| LPC011799 | GA | MD | Professional Counselor |
| LH60795987 | WA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Bridge Inc | Mental Health | Current | Accepting new patients |
Locations
404 Corder Rd
Ste 300
Warner Robins, GA 31088
Phone (478) 283-8322
109 Osigian Blvd
Ste 400
Warner Robins, GA 31088
Phone (478) 333-6901
Organizations & group practices 1
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": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1730629908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 OSIGIAN BLVD STE 400",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888925",
"telephone_number": "478-449-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 OSIGIAN BLVD STE 400",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888925",
"telephone_number": "478-449-1475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATT",
"first_name": "JEAN",
"middle_name": "GEHERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH60795987",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60727330",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC011799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.