Active NPI
Mary Alice Watlington, EDD, LPC, NCC
- Professional Counselor
- Columbus, GA
National Provider Identifier
1861029639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006882
- Practice address
- 1329 Wynnton Rd
Columbus, GA 31906-2919 - Phone
- (706) 577-2197
- NPI assigned
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC006882 | GA | Primary |
Addresses
Primary practice location
1329 Wynnton Rd
Columbus, GA 31906-2919
Mailing address
8108 Saddlehorn Dr
Midland, GA 31820-4433
Phone (706) 577-2197
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006882 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1861029639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8108 SADDLEHORN DR",
"city": "MIDLAND",
"state": "GA",
"postal_code": "318204433",
"telephone_number": "706-577-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 WYNNTON RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319062919",
"telephone_number": "706-577-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATLINGTON",
"first_name": "MARY",
"middle_name": "ALICE",
"name_prefix": "Mrs.",
"credential": "EDD, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-23",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.