NPIMap

Individual provider Active NPI

Royce L Ferguson, LPC, NCC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1811043532
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004298 Issued in GA
Practice address
1925 Century Blvd NE
Suite 8
Atlanta, GA 30345-3315
Phone
(404) 320-6906
Fax
(404) 320-6907
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC004298 GA Primary

Addresses

Primary practice location

1925 Century Blvd NE
Suite 8
Atlanta, GA 30345-3315

Mailing address

1925 Century Blvd NE
Suite 8
Atlanta, GA 30345-3315
Phone (404) 320-6906

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
LPC004298GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Back on Track Professional 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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811043532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 CENTURY BLVD NE",
            "address_2": "SUITE 8",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453315",
            "telephone_number": "404-320-6906",
            "fax_number": "404-320-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 CENTURY BLVD NE",
            "address_2": "SUITE 8",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453315",
            "telephone_number": "404-320-6906",
            "fax_number": "404-320-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "ROYCE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.