Individual provider Active NPI

Gail Venerable, LPC/CADC-II/ICADC

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1902296924
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC009133 Issued in GA
Practice address
235 E Ponce de Leon Ave
Suite 305
Decatur, GA 30030-3452
Phone
(770) 905-1291
Fax
(678) 668-7222
NPI assigned
Jan 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC-II 1827 GA
Addiction (Substance Use Disorder) Counselor 101YA0400X CADC-II 664 GA
Professional Counselor 101YP2500X LPC009133 GA Primary

Addresses

Primary practice location

235 E Ponce de Leon Ave
Suite 305
Decatur, GA 30030-3452

Mailing address

235 E Ponce de Leon Ave
Suite 305
Decatur, GA 30030-3452
Phone (770) 905-1291

Other names 1

  • Gail Venerable Professional name

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
CAC-II 1827GAMDAddiction (Substance Use Disorder) Counselor
CADC-II 664GAMDAddiction (Substance Use Disorder) Counselor
LPC009133GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Venerable Counseling Services Past Accepting new patients

Organizations & group practices 1

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": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1902296924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E PONCE DE LEON AVE",
            "address_2": "SUITE 305",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303452",
            "telephone_number": "770-905-1291",
            "fax_number": "678-668-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E PONCE DE LEON AVE",
            "address_2": "SUITE 305",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303452",
            "telephone_number": "770-905-1291",
            "fax_number": "678-668-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENERABLE",
        "first_name": "GAIL",
        "credential": "LPC/CADC-II/ICADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "CAC-II 1827",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "CADC-II 664",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAIL",
            "last_name": "VENERABLE",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.