Individual provider Active NPI

Rebecca Hodge, LPC

  • Professional Counselor
  • Savannah, GA
National Provider Identifier
1265100275
Registry record updated Dec 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC012163 Issued in GA
Practice address
1 Oglethorpe Professional Blvd BLDG Suite201
Savannah, GA 31406-4883
Phone
(912) 352-7638
NPI assigned
Sep 3, 2021
Last updated
Dec 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2023

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 LPC012163 GA Primary

Addresses

Primary practice location

1 Oglethorpe Professional Blvd BLDG Suite201
Savannah, GA 31406-4883

Mailing address

1 Oglethorpe Professional Blvd Ste 201
Savannah, GA 31406-4874
Phone (912) 246-1647

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
I20240619000346 GA Practitioner - Marriage and Family Therapist 8527501535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Counseling ServicesGroup PAC ID 5991941767, 6 clinicians

Practice addresses (Care Compare)

132 Stephenson Ave
Suite 101
Savannah, GA 31405-5829
Phone (912) 200-3195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC012163GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Counseling Services CurrentSince Jun 3, 2024 Accepting new patients

Locations

132 Stephenson Ave
Ste 101
Savannah, GA 31405
Phone (912) 200-3195

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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701475200000",
    "number": "1265100275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OGLETHORPE PROFESSIONAL BLVD STE 201",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064874",
            "telephone_number": "912-246-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OGLETHORPE PROFESSIONAL BLVD BLDG SUITE201",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064883",
            "telephone_number": "912-352-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "REBECCA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.