Active NPI
Alicia Roberts, LMFT
- Marriage & Family Therapist
- Macon, GA
National Provider Identifier
1902448681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT001709
- Practice address
- 2607 Vineville Ave Ste 101
Macon, GA 31204-0900 - Phone
- (478) 952-9789
- NPI assigned
- Oct 14, 2019
- Last updated
- Oct 14, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT001709 | GA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmonious Minds Counseling LLC | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Macon, GA
- NPI 1083259923
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.