1154700896 NPI number — BURROUGHS & JONES COUNSELING AND CONSULTING, LLC

Table of content: (NPI 1154700896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154700896 NPI number — BURROUGHS & JONES COUNSELING AND CONSULTING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BURROUGHS & JONES COUNSELING AND CONSULTING, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
JONES FAMILY COUNSELING AND CONSULTING, LLC
Provider Other Organization Name Type Code:
4
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154700896
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2036
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TIFTON
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31793-2036
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-748-9534
Provider Business Mailing Address Fax Number:
229-382-8353

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1216 DAWSON RD STE 110
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBANY
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31707-3800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
229-392-4457
Provider Business Practice Location Address Fax Number:
229-382-8353
Provider Enumeration Date:
05/27/2015

Additional Information

Authorized Official

Authorized Official Last Name:
BURROUGHS
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
E
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
229-392-4457

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  LPC008251 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251S00000X , with the licence number: LPC008251 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 003157272A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: A922342 . This is a "AMERICAN HEALTHCARE ACADEMY (CPR AND AED CERTIFICATION)" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 6426956 . This is a "AMERICAN COUNSELING ASSOCIATION (ACA MEMBERSHIP)" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: NCC668043 . This is a "NATIONAL BOARD OF CERTIFIED COUNSELORS (NCC CERTIFICATION)" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 2079 . This is a "LPCAGA (CERTIFIED PROFESSIONAL COUNSELOR SUPERVISOR - CPCS)" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 79770372 . This is a "DUN & BRADSTREET (DUNS ID#)" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: LPC008251 . This is a "GEORGIA COMPOSITE BOARD OF PROFESSIONAL COUNSELORS, SWS, & MFTS (LPC LICENSE)" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 1835 . This is a "HIGH IMPACT TRAINING AND COUNSELING, INC. (CAMS-II CERTIFICATION)" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 020720170 . This is a "THE JOHN PRAED FOUNDATION (ANSA GEORGIA CERTIFICATION)" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 30967662 . This is a "THE LICENSED PROFESSIONAL COUNSELORS ASSOCIATION OF GEORGIA (LPCAGA MEMBERSHIP)" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 13509476 . This is a "CAQH PROVIEW PROVIDER REGISTRY (CAQH PROVIDER #)" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 641060 . This is a "GEORGIA PROFESSIONAL STANDARDS COMMISSION (CTFD EDUCATOR IN SCHOOL COUNSELING)" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




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