Active NPI
Dorothy Wynens Rehberg, LPC, LMFT
- Professional Counselor
- Macon, GA
National Provider Identifier
1306202882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC002226
- Practice address
- 717 North Avenue
Macon, GA 31211-1418 - Phone
- (478) 475-4608
- Fax
- (478) 476-8397
- NPI assigned
- Jan 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT000856 | GA | |
| Professional Counselor | 101YP2500X | LPC002226 | GA | Primary |
Addresses
Primary practice location
717 North Avenue
Macon, GA 31211-1418
Mailing address
717 North Avenue
Macon, GA 31211-1418
Phone (478) 475-4608
Other names 1
- Alisa Wynens Rehberg
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240607003571 | GA | Practitioner - Marriage and Family Therapist | 7810439635 | Practice locations: Macon, GA |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
144 Pierce Ave
Macon, GA 31204-2860
717 N Ave
Macon, GA 31211-1418
Phone (478) 475-4608
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC002226 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Christian Counseling Center Inc | Professional | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Macon, GA
- NPI 1548191349
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1306202882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 NORTH AVENUE",
"city": "MACON",
"state": "GA",
"postal_code": "312111418",
"telephone_number": "478-475-4608",
"fax_number": "478-476-8397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 NORTH AVENUE",
"city": "MACON",
"state": "GA",
"postal_code": "312111418",
"telephone_number": "478-475-4608",
"fax_number": "478-476-8397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REHBERG",
"first_name": "DOROTHY",
"middle_name": "WYNENS",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT000856",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC002226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISA",
"last_name": "REHBERG",
"middle_name": "WYNENS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.