Mark Pierson Pentecost , LPC
Counselor - Professional • Winder, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Pentecost has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mark Pentecost, LPC was a registered Counselor - Professional practicing in Winder, GA. Throughout an active medical career spanning 7 years, Mark Pentecost provided care at the practice location at 292 N BROAD ST until profile deactivation on 2017-03-07.
Practice Location & Contact Primary Location
292 N Broad St
Winder, GA 306802149
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Winder, GA
Practicing in Winder, GA (6655 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker - Clinical
Licensed Clinical Social Worker
Marriage & Family Therapist
Licensed Marriage and Family Therapist
Counselor - Professional
Licensed Professional Counselor
Social Worker - Clinical
Licensed Clinical Social Worker
Social Worker - Clinical
Licensed Clinical Social Worker
Social Worker - Clinical
Licensed Clinical Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 07, 2017
NPI status registered as active in NPPES database
Registered at 292 N BROAD ST, WINDER, GA 306802149 (Tel: 7065497755)
Registered at 1435 OGLETHORP AVE, ATHENS, GA 306062135 (Tel: 7065497755)
Recorded as MARK PENTECOST, LPC
Counselor (License #GALPC003156 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1435 Oglethorp Ave
Athens, GA 306062135
Phone: 7065497755
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