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Reneze Trim

Counselor β€’ Lagrange, GA

Active NPI 1861934564 Individual Practitioner Female Practitioner
Practice location in NPPES

122 Gordon Commercial Dr Ste C
Lagrange, GA 302405754

Call 7068454045 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

122 Gordon Commercial Dr Ste C

Lagrange, GA 302405754

Telephone 7068454045
Fax 7068454367
Organization at the Same NPPES Address or Phone
Pathways Center For Behavioral And Developmental Growth Facility NPI 1013289255

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lagrange and Georgia

15 active clinicians are listed under Counselor with a practice address in Lagrange, GA (1,510 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lagrange

0% of these 15 clinicians have the CMS telehealth indicator.

6.7% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-30
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES GA APC010223

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 30, 2025

Registered at 122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 302405754 (Tel: 7068454045)

πŸ“
Updated Business Mailing Address June 30, 2025

Registered at 6207 MERRICK DR, PEACHTREE CITY, GA 302696674 (Tel: 4072010626)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2025

Counselor (license number reported to NPPES: GA APC010223)

βœ…
NPI Profile Active November 11, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 11, 2016

Registered at 6900 TURKEY LAKE RD, SUITE 1-2, ORLANDO, FL 328194707 (Tel: 4073705357)

πŸ“
Business Mailing Address (Initial Record) November 11, 2016

Registered at 285 MARJORIE BLVD, LONGWOOD, FL 327504631 (Tel: 4072723013)

πŸ‘€
Provider Name / Credentials (Initial Record) November 11, 2016

Recorded as RENEZE TRIM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2016

Counselor (license number reported to NPPES: FL IMH15310)

🟒
Initial NPI Registration & Enumeration November 11, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861934564
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2016
Last Update: June 30, 2025
Sole Proprietor: Yes

Mailing Address

6207 Merrick Dr

Peachtree City, GA 302696674

Phone: 4072010626

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.