Individual provider Active NPI

Jeffrey Brett Lewis, LPC, CADC-II

  • Professional Counselor
  • Savannah, GA
National Provider Identifier
1548947435
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013068 Issued in GA
Practice address
800 E 70TH St
Savannah, GA 31405-4813
Phone
(912) 633-8534
NPI assigned
Jul 3, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 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 LPC013068 GA Primary

Addresses

Primary practice location

800 E 70TH St
Savannah, GA 31405-4813

Mailing address

800 E 70TH St
Savannah, GA 31405-4813
Phone (912) 633-8534

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
I20240702000903 GA Practitioner - Mental Health Counselor 0648714667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Community Service BoardGroup PAC ID 3173510237, 42 clinicians

Practice addresses (Care Compare)

600 Coastal Village Dr
Brunswick, GA 31520-1973
Phone (912) 554-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Community Service Board CurrentSince May 11, 2024 Accepting new patients
Gateway Behavioral Health Services CurrentSince May 11, 2024 Accepting new patients
Gateway Behavioral Health Services Past Accepting new patients

Locations

600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

124 SW Broad St
Jesup, GA 31545
Phone (912) 280-7023

4451 Paulsen St
Savannah, GA 31405
Phone (912) 350-7500

800 E 70th St
Savannah, GA 31405
Phone (912) 692-0606

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1548947435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054813",
            "telephone_number": "912-633-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 70TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054813",
            "telephone_number": "912-633-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JEFFREY",
        "middle_name": "BRETT",
        "credential": "LPC, CADC-II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.