Active NPI
Glenda L Cordy Hayes, LPC
- Professional Counselor
- Kingsland, GA
National Provider Identifier
1104913409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC0004313
- Practice address
- 431 Northshore Dr
Kingsland, GA 31548-3971 - Phone
- (678) 920-3876
- NPI assigned
- Oct 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC0004313 | GA | |
| Professional Counselor | 101YP2500X | LPC0004313 | GA | Primary |
Addresses
Primary practice location
431 Northshore Dr
Kingsland, GA 31548-3971
Mailing address
431 Northshore Dr
Kingsland, GA 31548-3971
Phone (678) 920-3876
Other practice location 1
1345 Redmond Cir NW
Rome, GA 30165-1307
Phone (910) 742-9243
Other practice location 2
88 Lindsey Ln Ste C
Saint Marys, GA 31558-1725
Phone (912) 825-8488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222454495A | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1345 Redmond Cir NW
Rome, GA 30165-1307
Phone (910) 742-9243
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0004313 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Therapy & Counseling | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Stockbridge, GA
- NPI 1881979433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1104913409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 NORTHSHORE DR",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315483971",
"telephone_number": "678-920-3876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 NORTHSHORE DR",
"city": "KINGSLAND",
"state": "GA",
"postal_code": "315483971",
"telephone_number": "678-920-3876"
}
],
"practiceLocations": [
{
"address_1": "1345 Redmond Cir NW",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301651307",
"country_code": "US",
"telephone_number": "910-742-9243",
"fax_number": "888-746-1787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "88 Lindsey Ln Ste C",
"address_purpose": "LOCATION",
"city": "Saint Marys",
"state": "GA",
"postal_code": "315581725",
"country_code": "US",
"telephone_number": "912-825-8488",
"fax_number": "912-341-6794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORDY HAYES",
"first_name": "GLENDA",
"middle_name": "L",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC0004313",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC0004313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222454495A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kingsland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.