Individual provider Active NPI

Genie Nall Fleet, LPC

  • Professional Counselor
  • St Simons Island, GA
National Provider Identifier
1194269704
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009362 Issued in GA
Practice address
300 Oak St
Suite 203
Saint Simons Island, GA 31522-4738
Phone
(912) 268-4750
Fax
(888) 837-0039
NPI assigned
Dec 16, 2016
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC009362 GA Primary

Addresses

Primary practice location

300 Oak St
Suite 203
Saint Simons Island, GA 31522-4738

Mailing address

302 Magnolia St
Saint Simons Island, GA 31522-1346
Phone (912) 268-4750

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC009362GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Isle Counseling LLC PastSince Apr 20, 2025 Accepting new patients
Sears Counseling, LLC Professional 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, 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": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1194269704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MAGNOLIA ST",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221346",
            "telephone_number": "912-268-4750",
            "fax_number": "888-837-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OAK ST",
            "address_2": "SUITE 203",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315224738",
            "telephone_number": "912-268-4750",
            "fax_number": "888-837-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEET",
        "first_name": "GENIE",
        "middle_name": "NALL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.