BETHANY L NIXON (NPI# 1508429614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508429614 |
Entity Type | Individual |
Full Name | BETHANY L NIXON |
Credential | LPC |
Practice Address |
4043 Fairfax St Augusta GA 30907-2190 |
Practice Telephone | 7063994579 |
Mailing Telephone | 7063994579 |
Enumeration Date | 2019-04-16 |
Last Update Date | 2019-04-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | LPC010879 | GA | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LPC010879 | GA | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC010879 | GA | Behavioral Health & Social Service Providers |
Street Address |
4043 FAIRFAX ST |
City | AUGUSTA |
State | GA |
Zip Code | 30907-2190 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
Find all providers in zip 30907 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003431057 | Whitney O'connor | Counselor | 1232 Hickman Rd, Augusta, GA 30904-4733 | 2020-06-15 |
1093339186 | Kari Viola-brooke | Counselor | 2707 Downing St, Augusta, GA 30909-3734 | 2020-06-03 |
1477182541 | Wanda Joy Roberts | Counselor | 250 Milledge Rd, Augusta, GA 30904-3577 | 2020-04-02 |
1376182527 | Colisha Marie Amos | Counselor | 1761 Kissingbower Rd, Augusta, GA 30904-6615 | 2020-01-04 |
1730746009 | Kimberly Bridi | Counselor | 3351 Wrightsboro Rd Ste 301, Augusta, GA 30909-2838 | 2019-05-22 |
1669934469 | Julian Bogan | Counselor | 1135 Greg Hwy., Augusta, SC 29801 | 2019-04-02 |
1396226445 | Suzanah Richelle Schoen | Counselor | 2821 South Brookside Drive, Augusta, KS 67010-2433 | 2018-08-27 |
1891203345 | Community Service Board of East Central Georgia | Counselor | 1253 Greene St, Augusta, GA 30901-2127 | 2018-01-18 |
1851826267 | Denise Finney | Counselor | 2820 Hillcreek Dr, Suite A, Augusta, GA 30909-5628 | 2017-04-23 |
1043757818 | Marc Story | Counselor | 315 W 4th St Apt 6, Augusta, KY 41002-1089 | 2017-01-31 |
Find all providers in AUGUSTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.