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

Mr. Thomas Watson Bass III, LPC

Individual provider Professional Counselor · NPI 1457671430

Mr. Thomas Watson Bass III, LPC is a Mental Health Counselor in Kennesaw, Georgia. Qualified in 2006, 20 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
20
Licensed in
GA
In the registry since
2010
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

125 Townpark Dr NW Ste 300
Kennesaw, GA 30144-5803
Phone: (404) 553-1291
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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 LPC005869 (GA)

Record details

NPI number1457671430
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 2, 2010
Last updated in NPPESJune 2, 2010

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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