Individual provider Active NPI

Robin Wilson Gordon, LPC

  • Professional Counselor
  • Carrollton, GA
National Provider Identifier
1699367987
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC013765 Issued in GA
Practice address
119 Maple St Ste 100
Carrollton, GA 30117-3259
Phone
(770) 467-3569
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 LPC013765 GA Primary

Addresses

Primary practice location

119 Maple St Ste 100
Carrollton, GA 30117-3259

Mailing address

816 Rome St
Carrollton, GA 30117-2235
Phone (770) 467-3569

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
I20240320002486 GA Practitioner - Mental Health Counselor 5698112159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A Bingham Counseling LLCGroup PAC ID 5294172748, 2 clinicians

Practice addresses (Care Compare)

306 B Rome St
Carrollton, GA 30117-3107
Phone (678) 664-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC013765GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fern Haven Counseling, LLC Professional CurrentSince Jun 1, 2026 Accepting new patients
A. Bingham Counseling LLC Professional CurrentSince Feb 3, 2024 Accepting new patients
Paige Chriopractic and Acupuncture PLLC PastSince Oct 16, 2011 Accepting new patients

Locations

119 Maple St
Ste 100
Carrollton, GA 30117
Phone (770) 467-3369

306 Rome St
#B
Carrollton, GA 30117
Phone (678) 664-3434

231 Bonnet St
Manchester Center, VT 05255
Phone (802) 236-8469

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": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1699367987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 ROME ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172235",
            "telephone_number": "770-467-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAPLE ST STE 100",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173259",
            "telephone_number": "770-467-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "ROBIN",
        "middle_name": "WILSON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.