Individual provider Active NPI

Dennis Nelson Cain, LAMFT

  • Marriage & Family Therapist
  • Athens, GA
National Provider Identifier
1760698294
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000108 Issued in GA
Practice address
455 N Lumpkin St
Athens, GA 30601-2744
Phone
(706) 369-7911
Fax
(706) 208-9509
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000108 GA Primary

Addresses

Primary practice location

455 N Lumpkin St
Athens, GA 30601-2744

Mailing address

411 Fountainhead Dr
Jefferson, GA 30549-6711
Phone (706) 367-5448

Other identifiers 1

IdentifierTypeStateIssuer
1290OtherGAMHP MENTAL HEALTH PRO

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

LicenseStateTypeSpecialty
000108GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Pastoral Counseling Dba Samaritan Counseling Center PastSince Jul 28, 2015 Accepting new patients

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1760698294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FOUNTAINHEAD DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305496711",
            "telephone_number": "706-367-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N LUMPKIN ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012744",
            "telephone_number": "706-369-7911",
            "fax_number": "706-208-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "DENNIS",
        "middle_name": "NELSON",
        "credential": "LAMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "000108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHP MENTAL HEALTH PRO",
            "identifier": "1290",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.