MR. EDWARD GERARD BUCKENHAM III MA, LPC
NPI 1710160320
Counselor - Professional in Rome, GA

Active since December 06, 2007

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2022, Aug 25, 2022, Apr 11, 2022 (3 updates tracked since 2022).

About Mr. Edward Gerard Buckenham Iii Ma, Lpc NPPES

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

MR. EDWARD GERARD BUCKENHAM III MA, LPC (NPI 1710160320) is an individual professional provider in Rome, Georgia, licensed in Georgia (LPC006095) and active in the NPI registry since December 2007. He maintains a secondary practice location in Rome.

NPPES Registry Identity

NPI1710160320
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. EDWARD GERARD BUCKENHAM IIICredential: MA, LPC
Location Address104 E 5TH AVERome, GA 30161-3128
Mailing Address10 Royal Oak Dr NeRome, GA 30165-9331 · (706) 295-0440
Sole ProprietorYes
Enumeration DateDecember 6, 2007
Last NPPES UpdateSeptember 21, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
NPI 1710160320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in GA · LPC006095 Licensed in GA · APC001620
104 E 5TH AVE, Rome, GA 30161

Secondary Practice Location 1

Location 110 Royal Oak Dr NERome, GA 30165-9331 · Phone (706) 204-9303

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
104 E 5TH AVE
ROME, GA 30161
Counselor (Professional)
104 E 5TH AVE
ROME, GA 30161
Marriage & Family Therapist
104 E 5TH AVE
ROME, GA 30161
Psychologist (Clinical)
104 E 5TH AVE
ROME, GA 30161
Community/Behavioral Health
104 E 5TH AVE
ROME, GA 30161

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 Edward Buckenham's NPI number?

The NPI number for Edward Buckenham is 1710160320. It was assigned to this individual provider in the NPPES registry on December 6, 2007.

Where is Edward Buckenham located?

Edward Buckenham practices at 104 E 5th Ave, Rome, GA 30161. The listed phone number is (706) 235-6990.

What is Edward Buckenham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Edward Buckenham accept?

Health plans from Blue Cross and Blue Shield of Texas list Edward Buckenham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Buckenham was last updated on September 21, 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.