Olivia Gordon-Thomas, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC014842 Issued in GA

Practice address

1951 Honey Creek CMNS SE
Conyers, GA 30013-5806

Phone

(404) 800-5255

Fax

(470) 974-2125

NPI assigned

Aug 8, 2018

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Olivia Thomas Professional name

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Graceful Serenity Counseling LLC

  • Professional Counselor
  • Conyers, GA
  • NPI 1124912662
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1790264901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 SWEET BRIAR TRL SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943854",
            "telephone_number": "404-800-5255",
            "fax_number": "470-974-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 HONEY CREEK CMNS SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135806",
            "telephone_number": "404-800-5255",
            "fax_number": "470-974-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON-THOMAS",
        "first_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC014842",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "THOMAS",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carl Gonzales II, M.D.
• Elizabeth Gonzales, LPN
• Debora Ann Goodrich, DO
• Erik Thurston Goodwin, DDS
• Michelle Goolsby, CPS
• Jasmine Gordon
• Richard Alan Gordon, M.D.
• Stephanie H Gordon, M.D.
• Kelly Denise Gorham, LPC
• Maria Goyco, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.