Organization Active NPI

Garden City Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Augusta, GA
National Provider Identifier
1740301373
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3760 Issued in GA
Legal business name
GARDEN CITY COUNSELING CENTER, LLC
Practice address
801 Crawford Ave
Augusta, GA 30904-3711
Phone
(706) 833-7601
Fax
(706) 869-9870
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tatjana Estep Raycroft, LCSW
Title
Clinical Social Worker
Phone
(706) 833-7601

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3760 GA Primary
Community/Behavioral Health Agency 251S00000X APC001457 GA

Addresses

Primary practice location

801 Crawford Ave
Augusta, GA 30904-3711

Mailing address

801 Crawford Ave
Augusta, GA 30904-3711
Phone (706) 833-7601

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740301373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CRAWFORD AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043711",
            "telephone_number": "706-833-7601",
            "fax_number": "706-869-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CRAWFORD AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043711",
            "telephone_number": "706-833-7601",
            "fax_number": "706-869-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAYCROFT",
        "authorized_official_first_name": "TATJANA",
        "authorized_official_middle_name": "ESTEP",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "706-833-7601",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "3760",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "APC001457",
            "primary": false
        }
    ],
    "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 22, 2020; 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.