Active NPI
Juan William Garcia, S/T, MFT
- Marriage & Family Therapist
- Columbus, GA
National Provider Identifier
1851931612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1727 Boxwood PL
Columbus, GA 31906-2328 - Phone
- (706) 569-0727
- NPI assigned
- Jan 9, 2020
- Last updated
- Jan 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | NU | Primary |
Addresses
Primary practice location
1727 Boxwood PL
Columbus, GA 31906-2328
Mailing address
103 Ingersoll St # 152
Fort Benning, GA 31905-2600
Phone (573) 842-7374
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ProjectChangeClubhouse | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henotic Counseling LLC. | Marriage & Family Therapist | Current | Accepting new patients |
| Grow Healthcare Group PA | Marriage & Family Therapist | Current | Accepting new patients |
| New Horizons CSB Midtown Recovery | Past | Accepting new patients | |
| Project Change Clubhouse | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
GA, Marriage & Family Therapist
-
- Marriage & Family Therapist
- Cataula, GA
- NPI 1083453427
-
- Addiction (Substance Use Disorder) Counselor
- Columbus, GA
- NPI 1487707766
-
- Clinical Social Worker
- Columbus, GA
- NPI 1821328923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1851931612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 INGERSOLL ST # 152",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319052600",
"telephone_number": "573-842-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1727 BOXWOOD PL",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319062328",
"telephone_number": "706-569-0727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "JUAN",
"middle_name": "WILLIAM",
"credential": "S/T, MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ProjectChangeClubhouse",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1727 Boxwood Pl",
"city": "Columbus",
"state": "GA",
"country_code": "US",
"postal_code": "319062328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.