Active NPI
Aubrey Gold, LPC, NCC
- Mental Health Counselor
- Athens, GA
National Provider Identifier
1588486161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC015185
- Practice address
- 598 S Milledge Ave Ste 5
Athens, GA 30605-1262 - Phone
- (770) 676-1868
- NPI assigned
- Oct 25, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC015185 | GA | Primary |
Addresses
Primary practice location
598 S Milledge Ave Ste 5
Athens, GA 30605-1262
Mailing address
752 Fitzroy Dr
Athens, GA 30606-0790
Phone (770) 870-7655
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC015185 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deep Waters Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
598 S Milledge Ave
Ste 5
Athens, GA 30605
Phone (706) 353-0709
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.
-
- Mental Health Counselor
- Athens, GA
- NPI 1548083751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1588486161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 FITZROY DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306060790",
"telephone_number": "770-870-7655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 S MILLEDGE AVE STE 5",
"city": "ATHENS",
"state": "GA",
"postal_code": "306051262",
"telephone_number": "770-676-1868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "AUBREY",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-25",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC015185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.