Deerfield Associates, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DEERFIELD ASSOCIATES, LLC

Practice address

507 N Davis Dr Ste 1a
Warner Robins, GA 31093-2687

Phone

(478) 238-3795

Fax

(478) 202-9018

NPI assigned

Feb 17, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Anissa Kenyatta Howard, LPC, LMFTNPI 1396082210

Title

Chief Executive Director

Phone

(478) 238-3795

Specialties & licenses 6

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anissa Kenyatta Howard, LPC, LMFT, RPT-S

  • Professional Counselor
  • Warner Robins, GA
  • NPI 1396082210
  NPD Authorized official

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1861085185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6934",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310956934",
            "telephone_number": "478-238-3795",
            "fax_number": "478-202-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N DAVIS DR STE 1A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932687",
            "telephone_number": "478-238-3795",
            "fax_number": "478-202-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_middle_name": "KENYATTA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "478-238-3795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.theranest.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "507 N Davis Dr Ste 1A",
            "city": "Warner Robins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310932687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Valarie Davis, RN
• Maha M Dawood, MD
• James Dawson, MD
• Jeannie Bernice Day
• Deepti Bhasin MD Inc
• Define Bliss and Lab Inc
• Virginia Defoe
• Daniel A. Deighton, M.D.
• Christopher Delcourt, PHARM D
• Alan L Deleon

• Mental Health Clinic/Center (Including Community Mental Health Center) in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.