Individual provider Active NPI

Erica Arambulo, LMFT

  • Marriage & Family Therapist
  • Tifton, GA
National Provider Identifier
1831654763
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001692 Issued in GA
Practice address
106 4TH St W
Tifton, GA 31794-4343
Phone
(229) 445-3152
Fax
(229) 445-3153
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001692 GA Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

106 4TH St W
Tifton, GA 31794-4343

Mailing address

106 4TH St W
Tifton, GA 31794-4343
Phone (229) 445-3152

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
MFT001692GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy House LLC Marriage & Family Therapist CurrentSince Mar 21, 2021 Accepting new patients
Crossroads Psychology Center, LLC Past Accepting new patients

Locations

106 4th St W
Tifton, GA 31794
Phone (229) 445-3152

Organizations & group practices 2

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": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1831654763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 4TH ST W",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944343",
            "telephone_number": "229-445-3152",
            "fax_number": "229-445-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 4TH ST W",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944343",
            "telephone_number": "229-445-3152",
            "fax_number": "229-445-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAMBULO",
        "first_name": "ERICA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001692",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.