Individual provider Active NPI

Stephen Redmond Ventre, LPC

  • Mental Health Counselor
  • Douglasville, GA
National Provider Identifier
1659056596
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC014010 Issued in GA
Practice address
6744 Valley CT
Douglasville, GA 30135-1643
Phone
(770) 403-4823
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC014010 GA Primary

Addresses

Primary practice location

6744 Valley CT
Douglasville, GA 30135-1643

Mailing address

6744 Valley CT
Douglasville, GA 30135-1643
Phone (770) 403-4823

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
I20250624003815 GA Practitioner - Mental Health Counselor 2860904968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolutions Counseling IncGroup PAC ID 9830625581, 4 clinicians

Practice addresses (Care Compare)

215 Bradley St
Carrollton, GA 30117-3217
Phone (770) 832-9140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resolutions Counseling Inc. CurrentSince May 1, 2025 Accepting new patients

Locations

215 Bradley St
Carrollton, GA 30117
Phone (770) 832-9140

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.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1659056596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6744 VALLEY CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351643",
            "telephone_number": "770-403-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6744 VALLEY CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351643",
            "telephone_number": "770-403-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTRE",
        "first_name": "STEPHEN",
        "middle_name": "REDMOND",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC014010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.