Graceful Serenity Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GRACEFUL SERENITY COUNSELING LLC

Practice address

1775 Parker Rd SE Ste 210
Conyers, GA 30094-6654

Phone

(678) 807-9594

Fax

(470) 974-2175

NPI assigned

Jun 9, 2025

Organization subpart

No

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

Authorized official

Name

Olivia Gordon-Thomas, LPC. NCCNPI 1790264901

Title

Ceo/Owner

Phone

(678) 807-9594

Specialties & licenses 1

Addresses

Other names 1

• Graceful Serenity Counseling Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olivia R Gordon-Thomas

  • Mental Health Counselor
  • Lawrenceville, GA
  • NPI 1790264901

  Professional

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1124912662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 SWEET BRIAR TRL SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943854",
            "telephone_number": "347-346-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD SE STE 210",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946654",
            "telephone_number": "678-807-9594",
            "fax_number": "470-974-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL SERENITY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-08",
        "status": "A",
        "authorized_official_last_name": "GORDON-THOMAS",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "678-807-9594",
        "authorized_official_credential": "LPC. NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graceful Serenity Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jasmine Gordon
• Richard Alan Gordon, M.D.
• Stephanie H Gordon, M.D.
• Kelly Denise Gorham, LPC
• Maria Goyco, M.D.
• Graceol Corporation
• Graceol Counseling Center Inc
• Michael Jerome Grady, D.O.
• Catonya Graham
• Latoya Grandy-Walker, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.