George Albert Bacon Jr., LCMHCS, LCAS
NPI 1609599711ActiveIndividual· Counselor· Winterville, NC
Counselor (LCMHCS, LCAS) with New Dawn Psychiatric Services PLLC, practicing in Winterville, North Carolina. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1609599711 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCMHCS, LCAS |
| Sole proprietor | Yes |
| NPI issued | Sep 22, 2022 |
| Last updated in NPPES | Sep 23, 2022 |
| Certified by provider | Sep 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | S9005 | NC |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | LCAS-2748 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NC) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- New Dawn Psychiatric Services PLLCKinston, NC · 8 clinicians
Other Counselor providers in Winterville
- 1831442110
- 1497035919