CONNIE J YOUNG-GIBRALTARIK MED, MA, LPC
NPI 1083153142
Counselor - Professional in Stockbridge, GA
About Connie J Young-gibraltarik Med, Ma, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE J YOUNG-GIBRALTARIK MED, MA, LPC (NPI 1083153142) is an individual professional provider in Stockbridge, Georgia, licensed in Georgia (LPC009420) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Connie J Young-gibraltarik Med, Ma, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Connie Young-gibraltarik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30315
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Iora Health Georgia PC
- 38 clinicians in this Medicare group
Atlanta, GA 30315
- Reassigned Medicare billing, Georgia enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOCKBRIDGE, GA 30281
STOCKBRIDGE, GA 30281
STOCKBRIDGE, GA 30281
STOCKBRIDGE, GA 30281
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Connie Young-gibraltarik's NPI number?
The NPI number for Connie Young-gibraltarik is 1083153142. It was assigned to this individual provider in the NPPES registry on February 21, 2017.
Where is Connie Young-gibraltarik located?
Connie Young-gibraltarik practices at 950 Eagles Landing Pkwy Suite 665, Stockbridge, GA 30281. The listed phone number is (510) 914-7540.
What is Connie Young-gibraltarik's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Connie Young-gibraltarik enrolled in Medicare?
Yes. Connie Young-gibraltarik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Connie Young-gibraltarik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Young-gibraltarik reassigns Medicare benefits to 2 organizations: Iora Health Georgia, P.C. (Atlanta, GA) and Iora Senior Health, LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connie Young-gibraltarik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Connie Young-gibraltarik was last updated on April 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Connie J Young-Gibraltarik, MED, MA, LPC · NPI 1083153142
Professional provider in Stockbridge, Georgia. Individual provider, active in the CMS NPPES registry since February 21, 2017.
## Identity
- **NPI:** 1083153142 (Entity type: Individual)
- **Enumerated:** February 21, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC009420 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 950 EAGLES LANDING PKWY, SUITE 665, Stockbridge, GA 30281-7343
- **Phone:** (510) 914-7540 · **Fax:** (770) 629-2139
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Iora Health Georgia, P.C. (NPI 1275192866, Atlanta, GA); Iora Senior Health, LLC (NPI 1770142358, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** April 23, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1083153142) · Data from the CMS NPPES public registry.