Individual provider Active NPI

Ayeva Star-Johnson Golden, LPC

  • Professional Counselor
  • Warner Robins, GA
National Provider Identifier
1255888368
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008412 Issued in GA
Practice address
2052 Watson Blvd
Warner Robins, GA 31093-3625
Phone
(478) 207-7773
Fax
(877) 299-6815
NPI assigned
Sep 7, 2016
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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 LPC008412 GA Primary

Addresses

Primary practice location

2052 Watson Blvd
Warner Robins, GA 31093-3625

Mailing address

113 Booker St
Warner Robins, GA 31093-2627
Phone (770) 231-0508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250902000906 GA Practitioner - Mental Health Counselor 1355842238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curtis Behavioral HealthGroup PAC ID 1456681527, 4 clinicians

Practice addresses (Care Compare)

2052 Watson Blvd
Warner Robins, GA 31093-3625
Phone (478) 207-7773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC008412GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis Behavioral Health CurrentSince Jul 25, 2025 Accepting new patients

Locations

2052 Watson Blvd
Warner Robins, GA 31093
Phone (478) 207-7773

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": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1255888368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BOOKER ST",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310932627",
            "telephone_number": "770-231-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933625",
            "telephone_number": "478-207-7773",
            "fax_number": "877-299-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "AYEVA",
        "middle_name": "STAR-JOHNSON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.