Teresa Ann Bates, MS, APC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC007901 Issued in GA

Practice address

4145 Columbia Rd.
Martinez, GA 30907

Phone

(706) 869-7373

Fax

(706) 869-7380

NPI assigned

Apr 18, 2012

Last updated

Jul 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Channeled Paths, Inc.

  • Professional Counselor
  • Martinez, GA
  • NPI 1922870385
  Medicare reassignment NPD
• First Focus Faith, LLC

  • Community/Behavioral Health Agency
  • Martinez, GA
  • NPI 1861130932
  NPD (past)
• Georgia Family Crisis Solutions

  • Professional Counselor
  • Martinez, GA
  • NPI 1164637773
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1831456607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4145 COLUMBIA RD.",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "30907",
            "telephone_number": "706-869-7373",
            "fax_number": "706-869-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 COLUMBIA RD.",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "30907",
            "telephone_number": "706-869-7373",
            "fax_number": "706-869-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "credential": "MS, APC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC007901",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": "BA2C14AC",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "485569088A21",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jubilee Baptiste
• Barbara J. Utermark, DMD, P.C. (Utermark Orthodontics)
• Susan Elizabeth Barker, M.ED., LPC, NCC
• Ashtin Barton
• Angela Bates
• Shoba Battu, M.D.
• Christopher C. Bauer, D.C.
• Summer Baughcum
• Elizabeth Jayne Baughn, COTA/L
• Kelli Cristine Bays, RBT

• Mental Health Counselor in Martinez, GA
• Providers in Martinez, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.