MR. EDWARD GERARD BUCKENHAM MA LPC NPI 1710160320

NPI Information

  • NPI: 1710160320
  • Provider Name: MR. EDWARD GERARD BUCKENHAM, MA, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 104 E 5TH AVE
    ROME, GA
    ZIP 30161
  • Phone: (706) 235-6990

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NPI Details

MR. Edward Gerard Buckenham, MA, LPC is a professional counselor in Rome, GA. MR. Edward Gerard Buckenham, MA, LPC NPI is 1710160320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

104 E 5TH AVE
ROME, GA
ZIP 30161-128
Phone: (706) 235-6990

The enumeration date for this NPI number is 12/6/2007 and was last updated on 9/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalAPC001620GEORGIANo
2101YP2500XCounselorProfessionalLPC006095GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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