Bennecia Gilbert, CRC, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC011778 Issued in GA

Practice address

139 Henry Pkwy
McDonough, GA 30253-6636

Phone

(770) 358-5252

Fax

(770) 898-7412

NPI assigned

Oct 14, 2020

Last updated

Nov 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rhodium Care Group of Ga LLC

  • Psychologist
  • Jackson, GA
  • NPI 1649148859
  Medicare reassignment NPD
• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Jackson, GA
  • NPI 1265610406
  NPD (past)
• McIntosh Trail CSB

  dba Henry Co Counseling Center

  • Community/Behavioral Health Agency
  • McDonough, GA
  • NPI 1225216484
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1023616869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 TRAMMELL RD APT 111",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 HENRY PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536636",
            "telephone_number": "770-358-5252",
            "fax_number": "770-898-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "BENNECIA",
        "credential": "CRC, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "LPC011778",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Mark Gerhardt, D.C.
• Jyoti Gharge, MD
• Page Gibson
• Gifted Speech Therapy Services, Inc
• Gifted Therapy Services, LLC
• Edgar H. Gilchrist Jr., DDS
• George G. Girolami, PT
• Jennice H. Gist
• Cathy Gittens, CATHY GITTENS CPS-P
• Terrance Givan

• Professional Counselor in McDonough, GA
• Providers in McDonough, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.