RIVER EDGE BEHAVIORAL HEALTH CENTER (NPI# 1932261393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932261393 |
| Entity Type | Organization |
| Organization Name | RIVER EDGE BEHAVIORAL HEALTH CENTER |
| Other Organization Name | HIDDEN LAKE I |
| Practice Address |
180 Hidden Lakes Ct Apt. R-1 Macon GA 31204-5068 |
| Practice Telephone | 4787514519 |
| Mailing Telephone | 4787514519 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. EMILY BETH TYLER (CFO) |
| Authorized Official Telephone | 4787523231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | GA | Agencies |
| Other Name | Type Code |
|---|---|
| Hidden Lake I | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467965848 | River Edge Behavioral Health Center | Community/Behavioral Health | 7741 Roswell Rd Ste A, Atlanta, GA 30350-4845 | 2017-11-08 |
| 1164961876 | River Edge Behavioral Health Center | Community/Behavioral Health | 281 Carl Vinson Pkwy, Suite D, Warner Robins, GA 31088-5824 | 2017-02-14 |
| 1730483306 | River Edge Behavioral Health Center | Community/Behavioral Health | 1881 Twin Pines Dr, Macon, GA 31211-1237 | 2010-12-22 |
| 1164732384 | River Edge Behavioral Health Center | Community/Behavioral Health | 1243 First Ave, Macn, GA 31204-4177 | 2010-10-21 |
| 1023204864 | River Edge Behavioral Health Center | Community/Behavioral Health | 952 Main St, Jeffersonville, GA 31044-3727 | 2007-09-14 |
| 1669668414 | River Edge Behavioral Health Center | Community/Behavioral Health | 530 Settlement Rd Ste A, Gray, GA 31032-6030 | 2007-09-14 |
| 1295899466 | River Edge Behavioral Health Center | Community/Behavioral Health | 750 Baconsfield Dr, Macon, GA 31211-1491 | 2006-12-21 |
| 1962564963 | River Edge Behavioral Health Center | Community/Behavioral Health | 4164 Riggins Mill Rd, Macon, GA 31217-5440 | 2006-12-15 |
| 1487716577 | River Edge Behavioral Health Center | Community/Behavioral Health | 151 Childs St, Gray, GA 31032-5637 | 2006-12-14 |
| 1104988351 | River Edge Behavioral Health Center | Community/Behavioral Health | 626 Spring St, Macon, GA 31201-2028 | 2006-12-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RIVER EDGE BEHAVIORAL HEALTH CENTER | 175 Emery Hwy, Macon, GA 31217-3692 |
| Street Address |
180 HIDDEN LAKES CT APT. R-1 |
| City | MACON |
| State | GA |
| Zip Code | 31204-5068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417017351 | River Edge Behavioral Health Center | Community/Behavioral Health | 180 Hidden Lakes Ct, Apt. R-1, Macon, GA 31204-5068 | 2006-12-11 |
| 1225190861 | River Edge Behavioral Health Center | Community/Behavioral Health | 180 Hidden Lakes Ct, Apt. R-4, Macon, GA 31204-5068 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699314807 | Seeds of Life Counseling Agency, LLC | Community/Behavioral Health | 3070 Clairmont Ave, Macon, GA 31204-1049 | 2020-01-06 |
| 1033664222 | Moore Resolutions Group, LLC | Community/Behavioral Health | 4100 Riverside Dr Ste 97, Macon, GA 31210-1848 | 2016-08-17 |
| 1164874509 | Chandra Albritton Counseling Services | Community/Behavioral Health | 152 New St, Suite 109b, Macon, GA 31201-7304 | 2016-07-11 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| 1902220536 | Jode Counseling Training and Treatment Services Inc | Community/Behavioral Health | 3555 Mercer University Dr, Suite 1016, Macon, GA 31204-4940 | 2014-02-18 |
| 1730483306 | River Edge Behavioral Health Center | Community/Behavioral Health | 1881 Twin Pines Dr, Macon, GA 31211-1237 | 2010-12-22 |
| 1972819753 | Resourceful Solutions II | Community/Behavioral Health | 405 Cherry St, Suite 345, Macon, GA 31201-3320 | 2010-08-31 |
| 1437270352 | Community Development System, Inc. | Community/Behavioral Health | 401 Cherry St, Suite 505, Macon, GA 31201-3384 | 2007-04-02 |
| 1295899466 | River Edge Behavioral Health Center | Community/Behavioral Health | 750 Baconsfield Dr, Macon, GA 31211-1491 | 2006-12-21 |
| 1962564963 | River Edge Behavioral Health Center | Community/Behavioral Health | 4164 Riggins Mill Rd, Macon, GA 31217-5440 | 2006-12-15 |
| Find all providers in MACON | ||||
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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.