Gabrielle Talley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC014313 Issued in GA

Practice address

1773 Windcrest Dr SW
Lilburn, GA 30047-2549

Phone

(404) 797-1884

NPI assigned

Nov 18, 2022

Last updated

Feb 1, 2025By 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 1

Addresses

Electronic endpoints 2

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Medical of Michigan PCGroup PAC ID 9830562776, 90 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Brightside Medical of Michigan PC

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1144800350

  GA

  Medicare reassignment Care Compare group NPD
• Creative Center for Wellness, Incorporated

  • Clinical Social Worker
  • Monroe, GA
  • NPI 1154837946

  Mental Health

  NPD
• Family Counseling Associates of North Georgia LLC

  dba Family Counseling Associates of North Georgia

  • Professional Counselor
  • Cumming, GA
  • NPI 1861645376
  NPD (past)

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1871202754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 MERCER UNIVERSITY DR STE 110",
            "address_2": "# 274",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303412549",
            "telephone_number": "404-436-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 WINDCREST DR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472549",
            "telephone_number": "404-797-1884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306551914",
            "country_code": "US",
            "telephone_number": "770-599-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "GABRIELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://bloomspacewellness.com/contact/",
            "affiliation": "N",
            "endpointDescription": "Contact at BloomSpace Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact to be registered with our HIPAA compliant portal",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Form to email to contact us to be registered for HIPAA compliant portal",
            "address_1": "3060 Mercer University Dr Ste 110",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303414135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://creativecenterinc.org/contact/",
            "affiliation": "Y",
            "endpointDescription": "Contact at CCW Website",
            "affiliationName": "Creative Center for Wellness, Incorporated",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact to be registered with our HIPAA compliant portal",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Form to email to contact us to be registered for HIPAA compliant portal",
            "address_1": "204 W Spring St",
            "city": "Monroe",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306551914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sycamore Wellness Group, LLC
• Ofelia C Tablan, M.D.
• Brian Taglieri, PT
• Tailored in-Home Care and Assistance
• Lisa Monette Tait, LPC
• Min Jie Tan, MD
• Erica Y Taylor, NP
• Kathryn Christine Taylor
• Zewdi Tesfamichael, PMHNP-BC
• Sara K Tettelbach

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.