Individual provider Active NPI

James Thomas Giordanella, LPC

  • Mental Health Counselor
  • Byron, GA
National Provider Identifier
1801365705
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC011183 Issued in GA
Practice address
216 Muirfield LN
Byron, GA 31008-3903
Phone
(478) 397-1432
NPI assigned
Nov 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X APC006213 GA
Mental Health Counselor 101YM0800X LPC011183 GA Primary

Addresses

Primary practice location

216 Muirfield LN
Byron, GA 31008-3903

Mailing address

216 Muirfield LN
Byron, GA 31008-3903
Phone (478) 397-1432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC011183GAMDMental Health Counselor
APC006213GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
1Up Counseling LLC Mental Health CurrentSince Jul 25, 2021 Accepting new patients
Encompass Counseling, Wellness and Rehab Professional PastSince Jul 10, 2018 Accepting new patients

Organizations & group practices 2

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1801365705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 MUIRFIELD LN",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310083903",
            "telephone_number": "478-397-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MUIRFIELD LN",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310083903",
            "telephone_number": "478-397-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIORDANELLA",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2021-07-21",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC006213",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC011183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.