Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Connie J Young-Gibraltarik, MED, MA, LPC

Individual provider Professional Counselor · NPI 1083153142

Connie J Young-Gibraltarik, MED, MA, LPC is a Mental Health Counselor in Stockbridge, Georgia. Qualified in 2009, 17 years ago. Practices with Iora Senior Health LLC, a 125-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
17
Licensed in
GA
In the registry since
2017
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

950 Eagles Landing Pkwy Ste 665
Stockbridge, GA 30281-7343
Phone: (510) 914-7540
Fax: (770) 629-2139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC009420 (GA)

Record details

NPI number1083153142
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , MA , LPC
Sole proprietorYes
NPI enumeratedFebruary 21, 2017
Last updated in NPPESApril 23, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Iora Senior Health Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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