Tabitha T Samuels, in Hiram, GA - Medicare Mental Health Counselor Provider

Tabitha T Samuels, is a medicare enrolled "Counselor - Professional" provider in Hiram, Georgia. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Mental Health Specialty Group Pa and her current practice location is 107 Enterprise Path Ste 1, Hiram, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 207-9749.

Tabitha T Samuels is licensed to practice in Georgia (license number LPC014991) 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 1851081343.

Contact Information

	Tabitha T Samuels,
	107 Enterprise Path Ste 1, Hiram, GA 30141-2689
	(404) 207-9749
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tabitha T Samuels
Gender	Female
Speciality	Mental Health Counselor
Experience	5 Years
Location	107 Enterprise Path Ste 1, Hiram, 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:

Tabitha T Samuels graduated from medical school in 2021

NPI Data:

NPI Number: 1851081343
Provider Enumeration Date: 05/09/2023
Last Update Date: 01/16/2025

Medicare PECOS Information:

PECOS PAC ID: 9234664905
Enrollment ID: I20241119001981

Medical Identifiers

Medical identifiers for Tabitha T Samuels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851081343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC014991 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mental Health Specialty Group Pa	8921466228	618

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. Tabitha T Samuels allows following entities to bill medicare on her behalf.

Entity Name	Samuels Holistic Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316779564 PECOS PAC ID: 5698200368 Enrollment ID: O20241119002008

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. Tabitha T Samuels 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
Tabitha T Samuels, 5534 N Henry Blvd, Stockbridge, GA 30281-3220 Ph: (404) 207-9749	Tabitha T Samuels, 107 Enterprise Path Ste 1, Hiram, GA 30141-2689 Ph: (404) 207-9749

Reviews and Comments

Counselor in Hiram, GA

Kimberly Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 Enterprise Path Ste 206, Hiram, GA 30141 Phone: 678-567-0920 Fax: 678-567-0950
Mallory S Parker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 848 Hiram Acworth Hwy Bldg 100, Hiram, GA 30141 Phone: 678-818-5877
Shanel Benzina Robinson, MS, LPC, NCC, CCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 848 Hiram Acworth Hwy Bldg 100, Hiram, GA 30141 Phone: 404-334-7575 Fax: 404-334-7599
Adriauna Clay-potts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1899 Lake Rd Ste 123, Hiram, GA 30141 Phone: 678-896-8959 Fax: 678-550-1155
Mr. Joseph B Adams Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Enterprise Path, Suite 305, Hiram, GA 30141 Phone: 404-539-6473
Patricia Jean-francois, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 Enterprise Path Ste 208, Hiram, GA 30141 Phone: 678-990-1270
Kendrah Degruy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Boulder Run, Hiram, GA 30141 Phone: 404-618-2086

Tabitha T Samuels, - Medicare Counselor in Hiram, GA