Individual provider Active NPI

Christina Avery, M.S., LPC, NCC

  • Mental Health Counselor
  • Hinesville, GA
National Provider Identifier
1669173472
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC014692 Issued in GA
Practice address
345 W Memorial Dr
Hinesville, GA 31313-2413
Phone
(912) 456-2010
NPI assigned
Mar 17, 2023
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 LPC014692 GA Primary

Addresses

Primary practice location

345 W Memorial Dr
Hinesville, GA 31313-2413

Mailing address

345 W Memorial Dr
Hinesville, GA 31313-2413
Phone (912) 456-2010

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
I20250422001737 GA Practitioner - Mental Health Counselor 6204351307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

6 Holmes CT
Suite 100
Pooler, GA 31322-4801
Phone (912) 254-4401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC014692GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Apr 14, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Apr 14, 2025 Accepting new patients
Personal Recovery Network LLC CurrentSince May 5, 2025 Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (404) 793-0924

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

2959 Sharpsburg McCullum Rd
Ste 102
Newnan, GA 30265
Phone (678) 423-5500

6 Holmes Ct
Ste 100
Pooler, GA 31322
Phone (912) 254-4401

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1669173472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W MEMORIAL DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132413",
            "telephone_number": "912-456-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W MEMORIAL DR",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313132413",
            "telephone_number": "912-456-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "CHRISTINA",
        "credential": "M.S., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC014692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.