Active NPI
Marcus Anthony Prevette, LPC, LCMHC, NCC, CST
- Professional Counselor
- Macon, GA
National Provider Identifier
1144654328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009044
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 23365 | NC | MD | Counselor |
| APC003956 | GA | MD | Professional Counselor |
| LPC009044 | GA | MD | Professional Counselor |
| 12181 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighthope Enterprises | Professional | Past | 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": []
}
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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.