Active NPI
Gideon Hendrix, LPC
- Professional Counselor
- Cleveland, GA
National Provider Identifier
1194636589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC017170
- Practice address
- 100 Alumni Dr
Cleveland, GA 30528-1264 - Phone
- (706) 348-2428
- NPI assigned
- Sep 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC12576PC | SC | |
| Professional Counselor | 101YP2500X | LPC017170 | GA | Primary |
Addresses
Primary practice location
100 Alumni Dr
Cleveland, GA 30528-1264
Mailing address
191 Legacy Dr
Demorest, GA 30535-5275
Phone (706) 969-3485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1194636589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 LEGACY DR",
"city": "DEMOREST",
"state": "GA",
"postal_code": "305355275",
"telephone_number": "706-969-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ALUMNI DR",
"city": "CLEVELAND",
"state": "GA",
"postal_code": "305281264",
"telephone_number": "706-348-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRIX",
"first_name": "GIDEON",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-15",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "LPC12576PC",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC017170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.