Individual provider Active NPI

Alicia Roberts, LMFT

  • Marriage & Family Therapist
  • Macon, GA
National Provider Identifier
1902448681
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001709 Issued in GA
Practice address
2607 Vineville Ave Ste 101
Macon, GA 31204-0900
Phone
(478) 952-9789
NPI assigned
Oct 14, 2019
Last updated
Oct 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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 MFT001709 GA Primary

Addresses

Primary practice location

2607 Vineville Ave Ste 101
Macon, GA 31204-0900

Mailing address

5235 Bowman Rd Apt 105
Macon, GA 31210-1257
Phone (478) 952-9789

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aliciarobertsmft@gmail.com

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

LicenseStateTypeSpecialty
MFT001709GAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmonious Minds Counseling LLC Marriage & Family Therapist CurrentSince Nov 17, 2019 Accepting new patients

Locations

2607 Vineville Ave
Ste 101
Macon, GA 31204
Phone (478) 952-0573

Organizations & group practices 1

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1902448681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 BOWMAN RD APT 105",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101257",
            "telephone_number": "478-952-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 VINEVILLE AVE STE 101",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312040900",
            "telephone_number": "478-952-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ALICIA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aliciarobertsmft@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "2607 Vineville Ave Ste 101",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312040900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.