Brandon a Coussens LMFT LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFT001247 Issued in GA

Legal business name

BRANDON A COUSSENS LMFT LLC

Practice address

654 Main St
Ste 6
Thomson, GA 30824-7403

Phone

(706) 595-2548

NPI assigned

Mar 8, 2013

Last updated

Mar 8, 2013By 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

Brandon A Coussens, LMFT

Title

Ceo

Phone

(478) 335-4743

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janika Ivey

  • Mental Health Counselor
  • Thomson, GA
  • NPI 1063751519
  NPD (past)

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1871834341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "LINCOLNTON",
            "state": "GA",
            "postal_code": "308170022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 MAIN ST",
            "address_2": "STE 6",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308247403",
            "telephone_number": "706-595-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON A COUSSENS LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "COUSSENS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-335-4743",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "MFT001247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Georgia, Inc. (Bma Thomson)
• Tara Roychell Blair, APRN
• Anne Wills Bowers, DO
• Kayeaka Canton-Quiana Bracken, RBT
• Virginia R Bradshaw, NP
• Valena Denise Brinkley, NURSE PRACTITIONER
• Amanda Nicole Britt, M.D.
• Keisa Ayana Brooks-Bacote
• Charles W Brunson, D.M.D.
• Bryant and London LLC

• Community/Behavioral Health Agency in Thomson, GA
• Providers in Thomson, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.