Individual provider Active NPI

Benjamin Hinote, MS, LPC, NCC, CPCS

  • Professional Counselor
  • Evans, GA
National Provider Identifier
1063836344
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008643 Issued in GA
Practice address
622 Ponder Place Dr Ste 2
Evans, GA 30809-3119
Phone
(706) 471-0603
Fax
(706) 480-6617
NPI assigned
Feb 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC008643 GA Primary

Addresses

Primary practice location

622 Ponder Place Dr Ste 2
Evans, GA 30809-3119

Mailing address

622 Ponder Place Dr Ste 2
Evans, GA 30809-3119
Phone (706) 471-0603

Other practice location 1

3745 Tailboard Way
Martinez, GA 30907-2738
Phone (706) 830-3229

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240215000139 GA Practitioner - Mental Health Counselor 4486098738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

622 Ponder Place Dr
Suite 2
Evans, GA 30809-3119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC008643GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC Professional CurrentSince Jan 10, 2024 Accepting new patients
Savannah River Counseling Professional CurrentSince Jul 9, 2024 Accepting new patients
Resolution Counseling Professionals Professional PastSince Jan 10, 2024 Accepting new patients

Locations

1899 Powers Ferry Rd SE
Ste 250
Atlanta, GA 30339
Phone (678) 831-0608

3633 Wheeler Rd
Ste 365
Augusta, GA 30909
Phone (706) 432-6866

1202 Town Park Ln
Ste 300
Evans, GA 30809
Phone (706) 210-8855

622 Ponder Place Dr
Ste 2
Evans, GA 30809
Phone (706) 471-0603

4039 Gateway Blvd
Grovetown, GA 30813
Phone (706) 498-9570

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.jeremyhinote@124220.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1063836344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 PONDER PLACE DR STE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093119",
            "telephone_number": "706-471-0603",
            "fax_number": "706-480-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 PONDER PLACE DR STE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093119",
            "telephone_number": "706-471-0603",
            "fax_number": "706-480-6617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3745 Tailboard Way",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309072738",
            "country_code": "US",
            "telephone_number": "706-830-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINOTE",
        "first_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "MS, LPC, NCC, CPCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.