Leeann Rochelle Gumulauskas

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC013249 Issued in GA

Practice address

501 Gloucester St Ste 117
Brunswick, GA 31520-7030

Phone

(912) 244-9919

NPI assigned

Nov 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Leeann Rochelle Smith Former name

Medicare fee-for-service enrollment

Enrolled in GA, WI, DC3 enrollments

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 3

Specialty

Mental Health Counselor

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Jeremiah Tree CCS

  • Professional Counselor
  • Brunswick, GA
  • NPI 1548099682
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, GA, Professional, WI

  Medicare reassignment NPD
• Clinic for Christian Counseling LLC

  • Community/Behavioral Health Agency
  • Eau Claire, WI
  • NPI 1720135932
  NPD (past)
• Cornerstone Counseling Services, Inc

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1033127246
  NPD (past)

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1144565284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 TAMARA DR SE",
            "city": "DARIEN",
            "state": "GA",
            "postal_code": "313054257",
            "telephone_number": "715-379-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GLOUCESTER ST STE 117",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207030",
            "telephone_number": "912-244-9919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 S Dewey St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Eau Claire",
            "state": "WI",
            "postal_code": "547013781",
            "country_code": "US",
            "telephone_number": "715-832-1678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUMULAUSKAS",
        "first_name": "LEEANN",
        "middle_name": "ROCHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008515",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4949-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEEANN",
            "last_name": "SMITH",
            "middle_name": "ROCHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William George Grubb, MD
• Guardian Medical Care PLLC
• Colleen Monahan Guetherman, DPT
• Guiding Light Counseling Services LLC
• Andrew Thomas Guidry, M.D.
• Kristen Gustafsson, PHARMD
• Ninoska M Gutierrez, PAC
• Lisa Llanas Hagberg, MD
• Jasmine Marie Hahn, FNP
• Zaroon Haider, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.

Verify at the official NPI Registry.