OLIVER CRAIG WIDENHOUSE (LPC) – Professional Counselor, NPI 1760454540

OLIVER CRAIG WIDENHOUSE (LPC) is a healthcare provider. based in Athens, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. LPC005005 (GA). The NPI Number for OLIVER CRAIG WIDENHOUSE (LPC) is 1760454540

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
OLIVER CRAIG WIDENHOUSE (LPC)
NPI
1760454540
Phone
(706) 542-9700
Address
250 NORTH AVE
Enumeration Date
6 February 2006
Last Update Date
13 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
70638967891108
Graduation Year
1980 (46 years ago)
PAC ID
6800231630
Group Practice PAC ID
1052200599
Professional Enrollment ID
I20240301003040
Address ID
GA306012203AT250XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,201 MENTAL HEALTH COUNSELOR in GA

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Provider Addresses for OLIVER CRAIG WIDENHOUSE (LPC)

  • Avenue, Municipality of Marousi, Regional Unit of North Athens, Attica, 15123, Greece

    ATHENS, GA 306012244

    Phone: (706) 542-9700

    Fax: (706) 227-7249

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240301003040IMental Health CounselorGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052200599View full group profile
NameSpecialtyState
Physician AssistantMA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Clinical Social WorkerGA
-GA
Clinical Social WorkerGA

Reviews

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Frequently asked questions

Can I verify OLIVER CRAIG WIDENHOUSE (LPC) with an NPI only?
You can start verification with NPI 1760454540 for OLIVER CRAIG WIDENHOUSE (LPC), then check state licensing separately.
Does the file indicate OLIVER CRAIG WIDENHOUSE (LPC) is practicing under active NPI?
Directory data currently reports OLIVER CRAIG WIDENHOUSE (LPC) as active.
What taxonomy line describes OLIVER CRAIG WIDENHOUSE (LPC)?
For research purposes, treat OLIVER CRAIG WIDENHOUSE (LPC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What area does OLIVER CRAIG WIDENHOUSE (LPC) serve?
OLIVER CRAIG WIDENHOUSE (LPC)'s listing highlights Athens, Georgia; more addresses can appear in NPPES.
Is the information about OLIVER CRAIG WIDENHOUSE (LPC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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