P Praxis·MD
● Active Type 1 · Individual

Erica Geralds, MDIV, LPC, NCC

Counselor·Loganville, GA· NPI 1861926149 · Enumerated 2017 · 9 years on NPI
Geralds is 1 of 12 counselor providers in Loganville and 1 of 1686 in Georgia.
NPI age
9 years
Enumerated 2017-04-13
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-11-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1686 active counselor providers in Georgia.

NPI age
9 years
↑ 2 yr above median (7 yr)
State licenses
2 states
Top 97% — 2% of peers are multi-state
Subspecialties
1
In the 15% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Practice location
4190 Peace Rose Pl
Loganville, GA 300525112
📞 6786403196
Mailing address
4190 Peace Rose Pl
Loganville, GA 300525112
📞 6786403196

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
1525 E 53rd St
Chicago, IL 606154557
📞 7737520531
Location 3
1226 Royal Dr Sw Ste D
Conyers, GA 300945926
📞 6786403196
Location 4
3125 Presidential Pkwy Ste 214
Atlanta, GA 303403701
📞 6786403196

Specialties

  • Counselor Primary
    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...
    GA license #LPC011071 taxonomy 101Y00000X
  • Counselor
    Definition to come...
    IL license #178.012703 taxonomy 101YP2500X

Identifiers

TypeValueNotes
01 (IL) 1673042 BLUE CROSS BLUE SHIELD
05 (IL) 2A00-IPI-178
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new counselor provider has been added in Loganville 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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