Michael-Renee Godfrey, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006036 Issued in GA

Practice address

1949 Seymour Dr NW
Acworth, GA 30101-8067

Phone

(678) 398-7224

Fax

(844) 398-7224

NPI assigned

Jan 14, 2010

Last updated

Aug 11, 2021By 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 identifiers 1

Other names 1

• Mrs. Michael-Renee Godfrey Astree Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Therapy With Dr. G, LLC

  • Adult Mental Health Clinic/Center
  • Acworth, GA
  • NPI 1104662493
  NPD Authorized official

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1811227812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 SEYMOUR DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018067",
            "telephone_number": "678-398-7224",
            "fax_number": "844-398-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 SEYMOUR DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018067",
            "telephone_number": "678-398-7224",
            "fax_number": "844-398-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "MICHAEL-RENEE",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC001641",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498827642B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL-RENEE",
            "last_name": "ASTREE",
            "middle_name": "GODFREY",
            "prefix": "MRS.",
            "credential": "LAPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kerrie Ellen Glass
• Michele J Glass, M.S., BCBA
• Jennifer Laurie Glaze, LCSW
• Glee Dental
• Ciera Godfrey
• Godwins Family Care LLC
• Cynthia Lyn Goldberg, P.T., A.T., C
• Golden Care II (Senior Services)
• Golden Medical Group LLC
• Golden Seed Enterprises LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.