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MR. GEORGE ALBERT BACON JR. LCMHCS, LCAS
NPI 1609599711
Counselor in Winterville, NC

Active since September 22, 2022PECOS EnrolledAccepts Medicare Assignment
2201 SEAGRAVE DR, WINTERVILLE, NC 28590(252) 341-2761 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. George Albert Bacon Jr. Lcmhcs, Lcas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GEORGE ALBERT BACON JR. LCMHCS, LCAS (NPI 1609599711) is an individual counselor in Winterville, North Carolina, licensed in North Carolina (S9005) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1609599711
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. GEORGE ALBERT BACON JR.Credential: LCMHCS, LCAS
Location Address2201 SEAGRAVE DRWinterville, NC 28590-0119
Mailing Address2201 Seagrave DrWinterville, NC 28590-0119 · (252) 341-2761
Phone(252) 341-2761
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 22, 2022
Last NPPES UpdateSeptember 23, 2022
NPPES CertifiedSeptember 23, 2022
✔ NPI 1609599711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NC · S9005
Definition
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 experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LCAS-2748 (NC)
2201 SEAGRAVE DR, Winterville, NC 28590
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. George Albert Bacon Jr. Lcmhcs, Lcas 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.

PECOS PAC ID5294220935
PECOS Enrollment IDI20251219003086
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 George Bacon's NPI number?

The NPI number for George Bacon is 1609599711. It was assigned to this individual provider in the NPPES registry on September 22, 2022.

Where is George Bacon located?

George Bacon practices at 2201 Seagrave Dr, Winterville, NC 28590. The listed phone number is (252) 341-2761.

What is George Bacon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is George Bacon enrolled in Medicare?

Yes. George Bacon 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.

When was this NPI record last updated?

The NPPES record for George Bacon was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.