Magill Psychotherapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CSW04551 Issued in GA

Legal business name

MAGILL PSYCHOTHERAPY, LLC

Practice address

2011 Commerce Dr N
D106
Peachtree City, GA 30269-3538

Phone

(404) 953-5279

NPI assigned

Dec 26, 2013

Organization subpart

No

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

Authorized official

Name

Kara Magill, LCSWNPI 1184995706

Title

Owner

Phone

(404) 953-5279

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Kara M Magill, LCSW

  • Mental Health Counselor
  • Peachtree City, GA
  • NPI 1184995706
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1770904369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 COMMERCE DR N",
            "address_2": "D106",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 COMMERCE DR N",
            "address_2": "D106",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693538",
            "telephone_number": "404-953-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGILL PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "MAGILL",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-953-5279",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW04551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.