Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Edward Gerard Buckenham III, MA, LPC

Individual provider Professional Counselor · NPI 1710160320

Mr. Edward Gerard Buckenham III, MA, LPC is a Professional Counselor in Rome, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
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

104 E 5th Ave
Rome, GA 30161-3128
Phone: (706) 235-6990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Royal Oak Dr Ne, Rome, GA 30165-9331 — (706) 204-9303

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC006095 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence APC001620 (GA)

Record details

NPI number1710160320
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LPC
Sole proprietorYes
NPI enumeratedDecember 6, 2007
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

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