P Praxis·MD
● Active Type 1 · Individual

MR. Edward Gerard Buckenham III, MA, LPC

Counselor·Rome, GA· NPI 1710160320 · Enumerated 2007 · 18 years on NPI
Buckenham is 1 of 57 counselor providers in Rome and 1 of 7547 in Georgia.
NPI age
18 years
Enumerated 2007-12-06
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-09-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
18 years
↑ 9 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-12Enumerated in NPPES
2007 2026

Where they practice

Practice location
104 E 5th Ave
Rome, GA 301613128
📞 7062356990
Mailing address
10 Royal Oak Dr Ne
Rome, GA 301659331
📞 7062950440

Additional practice locations

1 secondary location on file with NPPES.

Location 2
10 Royal Oak Dr Ne
Rome, GA 301659331
📞 7062049303

Specialties

  • Counselor Primary
    Definition to come...
    GA license #LPC006095GA license #APC001620 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new counselor providers have been added in Rome in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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