MEDICARE: JOHN THOMAS DOHENY III LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CERTIFICATION #12786	GA
2	101YP2500X	Professional Counselor	003696	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	141934451	OTHER		FEDERAL TAX I.D.
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376550541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN THOMAS DOHENY III LPC

Provider Business Mailing Address
First Line	:	1661 13TH ST STE 102
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-3844
Country	:	US
Telephone Number	:	706-575-1833
Fax Number	:	706-565-0556

Provider Business Practice Location Address
First Line	:	1661 13TH ST STE 102
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-3844
Country	:	US
Telephone Number	:	706-575-1833
Fax Number	:	706-324-2088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	07/10/2021

Similar Medicare Providers

1861577348 — SCOTT S JONES PHD PC
Practice Location Address:

1661 13TH STREET , 102
COLUMBUS, GA
31901-3844

Practice Phone: 706-324-2050
Practice Fax: 706-324-2088

1659444149 — KATHY E FRANCE LPC
Practice Location Address:

1661 13TH STREET , SUITE 102
COLUMBUS, GA
31901-3844

Practice Phone: 706-324-3788
Practice Fax: 706-324-2088

1275606618 — ARTHUR D FRANCE PHD
Practice Location Address:

1661 13TH STREET , SUITE 102
COLUMBUS, GA
31901-3844

Practice Phone: 706-571-9534
Practice Fax: 706-324-2088

1982770053 — HAROLD W MCRAE JR
Practice Location Address:

1661 13TH STREET , SUITE 102
COLUMBUS, GA
31901-3844

Practice Phone: 706-323-6123
Practice Fax: 706-324-2088

1679609341 — MS. WANDA FAYE SHAFFER LPC, NCC
Practice Location Address:

1661 13TH ST STE 102
COLUMBUS, GA
31901-3844

Practice Phone: 706-575-7361
Practice Fax: 706-873-2712

1811644677 — FOUNTAIN CITY COUNSELING SERVICES
Practice Location Address:

1661 13TH ST STE 102
COLUMBUS, GA
31901-3844

Practice Phone: 706-580-4868
Practice Fax:

Directions to “ JOHN THOMAS DOHENY III LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.