Active NPI
Renzo Guillermo Gobea, M.S.
- Professional Counselor
- Alpharetta, GA
National Provider Identifier
1295070803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC009744
- Practice address
- 3450 Ridgeland PL
Alpharetta, GA 30004-8483 - Phone
- (404) 820-5874
- NPI assigned
- Dec 7, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | LPC009744 | GA | Primary |
Addresses
Primary practice location
3450 Ridgeland PL
Alpharetta, GA 30004-8483
Mailing address
3450 Ridgeland PL
Alpharetta, GA 30004-8483
Phone (404) 820-5874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC009744 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1295070803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 RIDGELAND PL",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300048483",
"telephone_number": "404-820-5874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 RIDGELAND PL",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300048483",
"telephone_number": "404-820-5874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOBEA",
"first_name": "RENZO",
"middle_name": "GUILLERMO",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-07",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC009744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.