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Active NPI 1447654884 Individual Practitioner Male Practitioner

Michael Chambless , LPC, CCMHC, MAC, NCC

Counselor - Professional • Rincon, GA

Professional Overview & Biography Verified Profile Summary

Michael Chambless, LPC, CCMHC, MAC, NCC is a registered healthcare professional specializing in Counselor - Professional in Rincon, GA. Practice services are available at 108 INTERNATIONAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 International Dr

Rincon, GA 313263934

Telephone 9128260918
Fax 9128260959

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Rincon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
20 Specialists

Practicing in Rincon, GA (6655 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC008770

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Anisa Grantham , LPC, NCAC

Counselor - Professional

NPI 1619014255

Licensed Professional Counselor, NCAC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 21, 2020

Registered at 108 INTERNATIONAL DR, RINCON, GA 313263934 (Tel: 9128260918)

👤
Provider Name / Credentials Updated August 21, 2020

Recorded as MICHAEL CHAMBLESS, LPC, CCMHC, MAC, NCC

NPI Profile Active June 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2016

Registered at 613 TOWNE PARK DR W, SUITE 103, RINCON, GA 313265182 (Tel: 9128260918)

📍
Updated Business Mailing Address June 24, 2016

Registered at PO BOX 339, RINCON, GA 313260339 (Tel: 9128260918)

👤
Provider Name / Credentials Updated June 24, 2016

Recorded as MICHAEL CHAMBLESS, LPC, MAC, NCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2016

Counselor (License #LPC008770 in GA)

🟢
Initial NPI Registration & Enumeration October 14, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447654884
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2014
Last Update: August 21, 2020
Sole Proprietor: Yes

Mailing Address

Po Box 339

Rincon, GA 313260339

Phone: 9128260918

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.