Mr Carlton Wendell Mitchell, LPC (PLLC) in Fayetteville, GA

Mr Carlton Wendell Mitchell, LPC (PLLC) is a medicare enrolled "Counselor - Professional" provider in Fayetteville, Georgia. His current practice location is 110 Habersham Dr Ste 146, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (903) 576-5136.

Mr Carlton Wendell Mitchell is licensed to practice in Georgia (license number 013730) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821622267.

Contact Information

	Mr Carlton Wendell Mitchell, LPC (PLLC)
	110 Habersham Dr Ste 146, Fayetteville, GA 30214-1381
	(903) 576-5136
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Carlton Wendell Mitchell
Gender	Male
Speciality	Counselor - Professional
Location	110 Habersham Dr Ste 146, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821622267
Provider Enumeration Date: 02/25/2020
Last Update Date: 08/22/2025

Medicare PECOS Information:

PECOS PAC ID: 6901348002
Enrollment ID: I20240604003574

Medical Identifiers

Medical identifiers for Mr Carlton Wendell Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821622267	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	013730 (Georgia)	Primary
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary

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. Mr Carlton Wendell Mitchell allows following entities to bill medicare on his behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549

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. Mr Carlton Wendell Mitchell 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
Mr Carlton Wendell Mitchell, LPC (PLLC) 110 Habersham Dr Ste 146, Fayetteville, GA 30214-1381 Ph: (903) 576-5136	Mr Carlton Wendell Mitchell, LPC (PLLC) 110 Habersham Dr Ste 146, Fayetteville, GA 30214-1381 Ph: (903) 576-5136

Reviews and Comments

Counselor in Fayetteville, GA

Melissa Stone Martinez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Bradford Sq Ste D, Fayetteville, GA 30215 Phone: 678-964-6023
Keisha L White, ED.S, NCC,LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Lanier Ave W Ste 103b, Fayetteville, GA 30214 Phone: 404-800-4002
Ms. Lauren Marlena Givens, CRC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 144 Brogdon Rd, Fayetteville, GA 30214 Phone: 984-255-4841
Albert B Fisher, LPC Counselor Medicare: Medicare Enrolled Practice Location: 101 Rainbow Way, Fayetteville, GA 30214 Phone: 678-489-6017
Ms. Marilyn Catherine Roberts, M.S. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 W Lanier Ave, Suite 508, Fayetteville, GA 30214 Phone: 678-817-6600 Fax: 678-817-6333
Vanessa J Hobbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Wesley Pl, Fayetteville, GA 30214 Phone: 404-387-0564
Ms. Anne Marie Cook, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Habersham Dr, Fayetteville, GA 30214 Phone: 770-461-9944 Fax: 770-461-9779

Mr Carlton Wendell Mitchell, LPC (PLLC) - Medicare Counselor in Fayetteville, GA