Individual provider Active NPI

Juan William Garcia, S/T, MFT

  • Marriage & Family Therapist
  • Columbus, GA
National Provider Identifier
1851931612
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1727 Boxwood PL
Columbus, GA 31906-2328
Phone
(706) 569-0727
NPI assigned
Jan 9, 2020
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718001195 GA Practitioner - Marriage and Family Therapist 3678019395 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henotic Counseling LLC. Marriage & Family Therapist Current Accepting new patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Jun 7, 2024 Accepting new patients
New Horizons CSB Midtown Recovery PastSince Jan 12, 2020 Accepting new patients
Project Change Clubhouse PastSince Jan 12, 2020 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.

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

Verify at the official NPI Registry.