NPIMap

Organization Active NPI

Lookout Mountain Community Services

  • Mental Illness Intermediate Care Facility
  • Fort Oglethorpe, GA
National Provider Identifier
1871978965
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
LPN090474 Issued in GA
Legal business name
LOOKOUT MOUNTAIN COMMUNITY SERVICES
Practice address
1875 Fant Dr
Fort Oglethorpe, GA 30742-3307
Phone
(706) 861-3387
NPI assigned
Jul 30, 2015
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Carla Myers, LPCNPI 1003232968
Title
Clinican
Phone
(706) 861-3387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X 86290 TN
Mental Illness Intermediate Care Facility 310500000X LPN090474 GA Primary

Addresses

Primary practice location

1875 Fant Dr
Fort Oglethorpe, GA 30742-3307

Mailing address

1875 Fant Dr
Fort Oglethorpe, GA 30742-3307

National Provider Directory

National Provider Directory
Tax ID family
Lookout Mountain Community Services107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1871978965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 FANT DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 FANT DR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423307",
            "telephone_number": "706-861-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKOUT MOUNTAIN COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CLINICAN",
        "authorized_official_telephone_number": "706-861-3387",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "TN",
            "license": "86290",
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "GA",
            "license": "LPN090474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.