Active NPI
Dennis Nelson Cain, LAMFT
- Marriage & Family Therapist
- Athens, GA
National Provider Identifier
1760698294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000108
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1290 | Other | GA | MHP 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
| License | State | Type | Specialty |
|---|---|---|---|
| 000108 | GA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Pastoral Counseling Dba Samaritan Counseling Center | Past | 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.
-
- Professional Counselor
- Athens, GA
- NPI 1285732784
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.