Individual provider Active NPI

Teneka Nadia Gerido, LPC

  • Mental Health Counselor
  • Rincon, GA
National Provider Identifier
1306198528
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC008583 Issued in GA
Practice address
595 Towne Park Dr Ste 200
Rincon, GA 31326-5324
Phone
(912) 785-2100
NPI assigned
Oct 11, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group of Georgia LLC 454 clinicians
Horizon Behavioral Health, P.C. 11 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

1121 Cornell Ave
Savannah, GA 31406-2701
Phone (912) 785-2100

508 N Main St
Suite a
Hinesville, GA 31313-2512
Phone (912) 785-2100

595 Towne Park Dr W
Suite 200
Rincon, GA 31326-5256
Phone (912) 785-2100

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
I20240819002312 GA Practitioner - Mental Health Counselor 2466990692 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APC003569GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Jun 23, 2024 Accepting new patients
Horizon Behavioral Health, P.C. CurrentSince Jan 8, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (404) 262-7414

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

508 N Main St
Ste A
Hinesville, GA 31313
Phone (912) 785-2100

595 Towne Park Dr W
Rincon, GA 31326
Phone (912) 785-2100

Interoperability endpoints

  • Direct secure messaging: teneka.gerido.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC008583 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

595 Towne Park Dr Ste 200
Rincon, GA 31326-5324

Mailing address

595 Towne Park Dr Ste 200
Rincon, GA 31326-5324
Phone (912) 785-2100

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
LPC008583OtherGALICENSURE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2026.

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1306198528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 TOWNE PARK DR STE 200",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265324",
            "telephone_number": "912-785-2100",
            "fax_number": "912-368-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 TOWNE PARK DR STE 200",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265324",
            "telephone_number": "912-785-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERIDO",
        "first_name": "TENEKA",
        "middle_name": "NADIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE NUMBER",
            "identifier": "LPC008583",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

Verify at the official NPI Registry.