Active NPI
Mariah Renee Flowers
- Counseling Psychologist
- Leesburg, GA
National Provider Identifier
1750138517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 102 Augusta CT Apt B
Leesburg, GA 31763-2977 - Phone
- (912) 342-3834
- NPI assigned
- May 1, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
102 Augusta CT Apt B
Leesburg, GA 31763-2977
Mailing address
102 Augusta CT Apt B
Leesburg, GA 31763-2977
Phone (912) 342-3834
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1750138517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 AUGUSTA CT APT B",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317632977",
"telephone_number": "912-342-3834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 AUGUSTA CT APT B",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317632977",
"telephone_number": "912-342-3834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWERS",
"first_name": "MARIAH",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-01",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.