A Therapeutic Experience

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

A THERAPEUTIC EXPERIENCE

Practice address

205 Napa Dr
Augusta, GA 30909-4652

Phone

(803) 646-6160

NPI assigned

Dec 7, 2021

Last updated

Dec 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sabrina Thomas, COO

Title

Coo

Phone

(803) 646-6160

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1841958733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6541",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298616541",
            "telephone_number": "803-646-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NAPA DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094652",
            "telephone_number": "803-646-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A THERAPEUTIC EXPERIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "803-646-6160",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "icanotes.com",
            "affiliation": "N",
            "endpointDescription": "EHR system",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "205 Napa Dr",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309094652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Counseling Psychologist in Augusta, GA
• Providers in Augusta, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.