Melanie Bentick, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC004051 Issued in GA

Practice address

4091 Dean Grove Way
Loganville, GA 30052-5880

Phone

(770) 906-8951

NPI assigned

Jun 8, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sacredspace Psychotherapy, LLC

  • Professional Counselor
  • Loganville, GA
  • NPI 1235020330
  NPD Authorized official

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1780033910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4091 DEAN GROVE WAY",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525880",
            "telephone_number": "770-906-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4091 DEAN GROVE WAY",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525880",
            "telephone_number": "770-906-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTICK",
        "first_name": "MELANIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC004051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Because of Grace Counseling and Therapeutic Services
• Amya B. Beckom, PA-C
• Begin Again Counseling Coaching & Consultant Services LLC
• Dominique Bellardini, PT, DPT
• Timesha Ben-Shidah
• Lauren Beshel
• Best Detox LLC
• Beth'El Personal Care Home
• Better Care 4 You LLC
• Jenimol Biju, PMHNP-BC

• Professional Counselor in Loganville, GA
• Providers in Loganville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.