Individual provider Active NPI

Vincentia Paul-Constantin, PHD

  • Mental Health Counselor
  • Buford, GA
National Provider Identifier
1225567597
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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, VI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240126001905 GA Practitioner - Mental Health Counselor 1850650649 Reassigns benefits to 1 organization
I20240311002900 VI Practitioner - Mental Health Counselor 1850650649 Reassigns benefits to 1 organization

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
Beautiful DreamersGroup PAC ID 5698195956, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Beautiful Dreamers Mental Health CurrentSince Feb 20, 2013 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.

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

Verify at the official NPI Registry.