Audrey Mishaw, in Norcross, GA - Medicare Mental Health Counselor Provider

Audrey Mishaw, is a medicare enrolled "Counselor - Professional" provider in Norcross, Georgia. She graduated from healthcare school in 2011 and has 14 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Personal Recovery Network Llc and her current practice location is 5635 Peachtree Pkwy Ste 180, Norcross, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 938-6670.

Audrey Mishaw is licensed to practice in Georgia (license number LPC009812) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184133639.

Contact Information

	Audrey Mishaw,
	5635 Peachtree Pkwy Ste 180, Norcross, GA 30092-2823
	(470) 938-6670
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Audrey Mishaw
Gender	Female
Speciality	Mental Health Counselor
Experience	14 Years
Location	5635 Peachtree Pkwy Ste 180, Norcross, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Audrey Mishaw graduated from medical school in 2011

NPI Data:

NPI Number: 1184133639
Provider Enumeration Date: 09/27/2017
Last Update Date: 09/22/2025

Medicare PECOS Information:

PECOS PAC ID: 6002359940
Enrollment ID: I20240619001694

Medical Identifiers

Medical identifiers for Audrey Mishaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184133639	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC009812 (Georgia)	Primary
101YM0800X	Counselor - Mental Health	004297 (Georgia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Personal Recovery Network Llc	5092611384	453

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. Audrey Mishaw allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Audrey Mishaw 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
Audrey Mishaw, 5635 Peachtree Pkwy Ste 180, Peachtree Corners, GA 30092-2823 Ph: (470) 938-6670	Audrey Mishaw, 5635 Peachtree Pkwy Ste 180, Norcross, GA 30092-2823 Ph: (470) 938-6670

Reviews and Comments

Counselor in Norcross, GA

Dr. Reginald B. Riley, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8000 Miller Ct E, Norcross, GA 30071 Phone: 770-734-8091 Fax: 770-734-8094
Mrs. Courtney Lynn Rose James, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Technology Pkwy S Ste 100, Norcross, GA 30092 Phone: 833-628-8476 Fax: 770-200-1563
Dr. Anthony S Lewis, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 5712 Pine Oak Dr, Norcross, GA 30092 Phone: 770-696-1549
Tequila Olivia Banks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 Phone: 470-658-8156
Mercianna R Oliver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1780 Graves Rd Apt 514, Norcross, GA 30093 Phone: 404-493-3803
Lan Chen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3200 Pointe Pkwy, Suite 400, Peachtree Corners, Norcross, GA 30092 Phone: 678-259-9298
Kenanesha Owens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 Phone: 770-696-9231

Audrey Mishaw, - Medicare Counselor in Norcross, GA