Ms Tiffani Venigee Fryar, LPC in Carrollton, GA

Ms Tiffani Venigee Fryar, LPC is a medicare enrolled "Counselor - Professional" provider in Carrollton, Georgia. Her current practice location is 2032 Maple St, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 890-6127.

Ms Tiffani Venigee Fryar is licensed to practice in Georgia (license number LPC005204) 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 1043775810.

Contact Information

	Ms Tiffani Venigee Fryar, LPC
	2032 Maple St, Carrollton, GA 30117
	(678) 890-6127
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Tiffani Venigee Fryar
Gender	Female
Speciality	Counselor - Professional
Location	2032 Maple St, Carrollton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043775810
Provider Enumeration Date: 02/06/2019
Last Update Date: 07/10/2024

Medicare PECOS Information:

PECOS PAC ID: 6305289968
Enrollment ID: I20240210000491

Medical Identifiers

Medical identifiers for Ms Tiffani Venigee Fryar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043775810	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC005204 (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. Ms Tiffani Venigee Fryar allows following entities to bill medicare on her behalf.

Entity Name	Authentic Spirit Counseling Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093426124 PECOS PAC ID: 5496198053 Enrollment ID: O20240210000488

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. Ms Tiffani Venigee Fryar 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
Ms Tiffani Venigee Fryar, LPC 297 New Chapel Rd, Whitesburg, GA 30185-2803 Ph: (678) 890-6127	Ms Tiffani Venigee Fryar, LPC 2032 Maple St, Carrollton, GA 30117 Ph: (678) 890-6127

Reviews and Comments

Counselor in Carrollton, GA

Lana Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Bradley St, Carrollton, GA 30117 Phone: 770-853-4102 Fax: 770-832-3046
Kiera Rhodes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2385 Oak Grove Church Rd, Carrollton, GA 30117 Phone: 404-398-3135
Dr. Hayley Elizabeth Kast, LPC Counselor Medicare: Medicare Enrolled Practice Location: 173 Kilgore Rd Ste 206, Carrollton, GA 30116 Phone: 770-653-5974
Cameron Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Maple St # 10707, Carrollton, GA 30118 Phone: 770-685-5834
Tracy C Wilson, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Bradley St, Carrollton, GA 30117 Phone: 770-832-9140 Fax: 770-832-3046
Corey Brian Hindman, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Maple St, Carrollton, GA 30118 Phone: 678-839-5338
Carolyn Sue Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 523 Dixie St, Carrollton, GA 30117 Phone: 678-372-9979

Ms Tiffani Venigee Fryar, LPC - Medicare Counselor in Carrollton, GA