Organization Active NPI

Therapy on the Go LLC

  • Professional Counselor
  • Montezuma, GA
National Provider Identifier
1740538701
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THERAPY ON THE GO LLC
Practice address
405 Travelers Rest Rd
Montezuma, GA 31063-2032
Phone
(478) 244-0926
Fax
(478) 472-1207
NPI assigned
Aug 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Dawn James, LPCNPI 1457629560
Title
Owner
Phone
(478) 244-0926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X GA Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X GA

Addresses

Primary practice location

405 Travelers Rest Rd
Montezuma, GA 31063-2032

Mailing address

405 Travelers Rest Rd
Montezuma, GA 31063-2032
Phone (478) 244-0926

National Provider Directory

National Provider Directory

Locations

114 Walnut St
Montezuma, GA 31063
Phone (478) 458-0063

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1345766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1740538701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 TRAVELERS REST RD",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310632032",
            "telephone_number": "478-244-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 TRAVELERS REST RD",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310632032",
            "telephone_number": "478-244-0926",
            "fax_number": "478-472-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY ON THE GO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-24",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-244-0926",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montezuma, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.