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Michael Chambless , LPC, CCMHC, MAC, NCC

Counselor - Professional β€’ Rincon, GA

Active NPI 1447654884 Individual Practitioner Male Practitioner
Practice location in NPPES

108 International Dr
Rincon, GA 313263934

Call 9128260918 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

108 International Dr

Rincon, GA 313263934

Telephone 9128260918
Fax 9128260959

NPI first issued

2014

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 Rincon and Georgia

20 active clinicians are listed under Counselor - Professional with a practice address in Rincon, GA (6,500 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rincon

0% of these 20 clinicians have the CMS telehealth indicator.

0% of these 20 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: 2020-08-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES GA LPC008770
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

8 Historical Events
πŸ“
Updated Practice Location August 21, 2020

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

πŸ‘€
Provider Name / Credentials Updated August 21, 2020

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

βœ…
NPI Profile Active June 24, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 24, 2016

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

πŸ“
Business Mailing Address (Initial Record) June 24, 2016

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

πŸ‘€
Provider Name / Credentials (Initial Record) June 24, 2016

Recorded as MICHAEL CHAMBLESS, LPC, MAC, NCC

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

Counselor (license number reported to NPPES: GA LPC008770)

🟒
Initial NPI Registration & Enumeration October 14, 2014

First registered as active Individual Practitioner in NPPES Database.

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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

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.