NPIMap

Organization Active NPI

Greenleaf Counseling Center

  • Community/Behavioral Health Agency
  • Valdosta, GA
National Provider Identifier
1790069565
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GREENLEAF COUNSELING CENTER
Practice address
2217 Pineview Dr
Valdosta, GA 31602-7316
Phone
(229) 671-6700
NPI assigned
Sep 28, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH GEORGIA MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Ashley Shapiro
Title
Therapist
Phone
(229) 671-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2217 Pineview Dr
Valdosta, GA 31602-7316

Mailing address

2217 Pineview Dr
Valdosta, GA 31602-7316

National Provider Directory

National Provider Directory
Tax ID family
Southe Georgia Medical13 organizations share this tax ID, including this one
Part of
Southe Georgia Medical

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2217 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1790069565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 PINEVIEW DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316027316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 PINEVIEW DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316027316",
            "telephone_number": "229-671-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF COUNSELING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH GEORGIA MEDICAL CENTER",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "229-671-6700"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.