Aliyah Montgomery-hawthorne, LPC in Forest Park, GA

Aliyah Montgomery-hawthorne, LPC is a medicare enrolled "Counselor - Professional" provider in Forest Park, Georgia. Her current practice location is 4761 Tuong Yen Ct, Forest Park, Georgia. You can reach out to her office (for appointments etc.) via phone at (720) 841-3868.

Aliyah Montgomery-hawthorne is licensed to practice in Georgia (license number LPC014408) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043769557.

Contact Information

	Aliyah Montgomery-hawthorne, LPC
	4761 Tuong Yen Ct, Forest Park, GA 30297-1955
	(720) 841-3868
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Aliyah Montgomery-hawthorne
Gender	Female
Speciality	Counselor - Professional
Location	4761 Tuong Yen Ct, Forest Park, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043769557
Provider Enumeration Date: 09/26/2016
Last Update Date: 04/23/2026

Medicare PECOS Information:

PECOS PAC ID: 1951740042
Enrollment ID: I20240423001000

Medical Identifiers

Medical identifiers for Aliyah Montgomery-hawthorne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043769557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC014408 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Aliyah Montgomery-hawthorne allows following entities to bill medicare on her behalf.

Entity Name	Dekalb Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073686978 PECOS PAC ID: 8527958487 Enrollment ID: O20040316001099

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Aliyah Montgomery-hawthorne is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Aliyah Montgomery-hawthorne, LPC 4761 Tuong Yen Ct, Forest Park, GA 30297-1955 Ph: (720) 841-3868	Aliyah Montgomery-hawthorne, LPC 4761 Tuong Yen Ct, Forest Park, GA 30297-1955 Ph: (720) 841-3868

Reviews and Comments

Counselor in Forest Park, GA

Ms. Marsharne J. Sullivan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4981 Phillips Dr, Forest Park, GA 30297 Phone: 404-997-3487
Mrs. Katina R Hall, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1035 Main St, Forest Park, GA 30297 Phone: 770-883-7581
Lula Varist Gholson, MA CHRISTIAN COUNSEL Counselor Medicare: Not Enrolled in Medicare Practice Location: Christian Counselor Ma Lou Gholson, 549 Lamar Drive, Forest Park, GA 30294 Phone: 404-254-4643
Mrs. Keturah Nashia Dirosier, MHC, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5055 East St, Forest Park, GA 30297 Phone: 305-807-7519
Gwen Warner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 519 Forest Pkwy, Forest Park, GA 30297 Phone: 404-717-4900

Aliyah Montgomery-hawthorne, LPC - Medicare Counselor in Forest Park, GA