Active NPI
Vincentia Paul-Constantin, PHD
- Mental Health Counselor
- Buford, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4330 S Lee St Ste 200a
Buford, GA 30518-5796 - Phone
- (340) 473-5146
- NPI assigned
- Jun 8, 2017
- Last updated
- Nov 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4330 S Lee St Ste 200a
Buford, GA 30518-5796
Mailing address
4330 S Lee St Ste 200a
Buford, GA 30518-5796
Phone (340) 473-5146
Other practice location 1
43-46 Norre Gade
Suite 230
St. Thomas, VI 00802
Phone (403) 473-5146
Other practice location 2
4031 LA Grande Princesse
Christainsted, VI 00820
Phone (678) 613-1242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4330 S Lee St
Suite 200a
Buford, GA 30518-5796
Phone (678) 837-2565
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beautiful Dreamers | Mental Health | Current | Accepting new patients |
| CW Educational and Behavioral | Mental Health | Past | Accepting new patients |
Locations
4330 S Lee St
Ste 200A
Buford, GA 30518
Phone (340) 473-5146
5084 Norre Gade
Ste 230
St Thomas, VI 00802
Phone (340) 473-5146
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.
-
- Mental Health Counselor
- St Thomas, VI
- NPI 1952825531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1225567597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 S LEE ST STE 200A",
"city": "BUFORD",
"state": "GA",
"postal_code": "305185796",
"telephone_number": "340-473-5146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 S LEE ST STE 200A",
"city": "BUFORD",
"state": "GA",
"postal_code": "305185796",
"telephone_number": "340-473-5146"
}
],
"practiceLocations": [
{
"address_1": "43-46 Norre Gade",
"address_2": "Suite 230",
"address_purpose": "LOCATION",
"city": "St. Thomas",
"state": "VI",
"postal_code": "00802",
"country_code": "US",
"telephone_number": "403-473-5146",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4031 LA Grande Princesse",
"address_purpose": "LOCATION",
"city": "Christainsted",
"state": "VI",
"postal_code": "00820",
"country_code": "US",
"telephone_number": "678-613-1242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAUL-CONSTANTIN",
"first_name": "VINCENTIA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2024-11-22",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.