Individual provider Active NPI

Marcus Anthony Prevette, LPC, LCMHC, NCC, CST

  • Professional Counselor
  • Macon, GA
National Provider Identifier
1144654328
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009044 Issued in GA
Practice address
121 Senora PL
Macon, GA 31210-1582
Phone
(478) 370-8476
Fax
(888) 798-7392
NPI assigned
Aug 24, 2013
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC009044 GA
Counselor 101Y00000X 12181 SC
Counselor 101Y00000X 23365 NC
Mental Health Counselor 101YM0800X LPC009044 GA
Mental Health Counselor 101YM0800X 12181 SC
Mental Health Counselor 101YM0800X 23365 NC
Professional Counselor 101YP2500X APC003956 GA
Professional Counselor 101YP2500X LPC009044 GA Primary
Professional Counselor 101YP2500X 12181 SC
Professional Counselor 101YP2500X 23365 NC

Addresses

Primary practice location

121 Senora PL
Macon, GA 31210-1582

Mailing address

121 Senora PL
Macon, GA 31210-1582
Phone (478) 370-8476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23365NCMDCounselor
APC003956GAMDProfessional Counselor
LPC009044GAMDProfessional Counselor
12181SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brighthope Enterprises Professional PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1377302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1144654328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SENORA PL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101582",
            "telephone_number": "478-370-8476",
            "fax_number": "888-798-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SENORA PL",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101582",
            "telephone_number": "478-370-8476",
            "fax_number": "888-798-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVETTE",
        "first_name": "MARCUS",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LPC, LCMHC, NCC, CST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-24",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC009044",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "12181",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "23365",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009044",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "12181",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "23365",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC003956",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009044",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "12181",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "23365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.