Christine Stoutenburg, LPC in Braselton, GA - Medicare Counselor Provider

Christine Stoutenburg, LPC is a medicare enrolled "Counselor - Professional" provider in Braselton, Georgia. Her current practice location is 6842 Grand Hickory Dr, Braselton, Georgia. You can reach out to her office (for appointments etc.) via phone at (630) 890-7824.

Christine Stoutenburg is licensed to practice in Georgia (license number LPC014541) 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 1033482054.

Contact Information

	Christine Stoutenburg, LPC
	6842 Grand Hickory Dr, Braselton, GA 30517-6246
	(630) 890-7824
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Christine Stoutenburg
Gender	Female
Speciality	Counselor - Professional
Location	6842 Grand Hickory Dr, Braselton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033482054
Provider Enumeration Date: 02/22/2012
Last Update Date: 06/03/2025

Medicare PECOS Information:

PECOS PAC ID: 2062937030
Enrollment ID: I20250422003719

Medical Identifiers

Medical identifiers for Christine Stoutenburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033482054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	178.019104 (Illinois)	Secondary
101YP2500X	Counselor - Professional	LPC014541 (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. Christine Stoutenburg allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747

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. Christine Stoutenburg 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
Christine Stoutenburg, LPC 111 N County Farm Rd, Wheaton, IL 60187-3977 Ph: () -	Christine Stoutenburg, LPC 6842 Grand Hickory Dr, Braselton, GA 30517-6246 Ph: (630) 890-7824

Reviews and Comments

Counselor in Braselton, GA

Kelly E. Redwine, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Broadway Avenue, Braselton, GA 30517 Phone: 770-695-7501
Cheryl Deluca-johnson, LPC 004168 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2022 Forest Hill Ct, Braselton, GA 30517 Phone: 678-300-6297
Angela K. Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Broadway Ave, Post Office Box 637, Braselton, GA 30517 Phone: 706-447-9050
Anna E. Packer, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Broadway Ave, Braselton, GA 30517 Phone: 470-208-3080
Jenny Lankford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1399 New Liberty Way, Braselton, GA 30517 Phone: 770-361-1201
Dr. Arvela V Leslie-cozart, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2095 Highway 211 Nw # 2f114, Braselton, GA 30517 Phone: 770-878-4017

Christine Stoutenburg, LPC - Medicare Counselor in Braselton, GA