PARADISE FOR LIVING SERVICES, INC.
NPI 1063763720
Counselor - Professional in Stone Mountain, GA

Active since September 20, 2012
2165 W PARK CT STE ABC, STONE MOUNTAIN, GA 30087(404) 522-3555(678) 374-4421 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2026, Sep 29, 2022 (2 updates tracked since 2022).

About Paradise For Living Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARADISE FOR LIVING SERVICES, INC. (NPI 1063763720) is a healthcare organization registered as a professional in Stone Mountain, Georgia and active in the NPI registry since September 2012. The organization lists Marie E Sampson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063763720
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NamePARADISE FOR LIVING SERVICES, INC.
Location Address2165 W PARK CT STE ABCStone Mountain, GA 30087-3550
Mailing Address1145 Pine Lake DrGrayson, GA 30017-7926 · (678) 446-8288 · Fax (678) 374-4421
Fax(678) 374-4421
Organization SubpartNo
Authorized OfficialMarie E SampsonExecutive Director · (678) 446-8288
Enumeration DateSeptember 20, 2012
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
✔ NPI 1063763720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCase ManagementTaxonomy 251B00000X
2165 W PARK CT STE ABC, Stone Mountain, GA 30087

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paradise For Living Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Paradise For Living Services, Inc., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Mental Health Counselor
NPI 1093106114
2795 MAIN ST W SUITE 20 B
Snellville, GA 30078
(678) 344-7836
✔ PECOS✔ Accepts Medicare5.5 mi
Mental Health Counselor
NPI 1952800864
750 LONGLEAF BLVD
Lawrenceville, GA 30046
(404) 556-9544
✔ PECOS11 mi
Nurse Practitioner
NPI 1922453117
5401 BOREAL WAY SW
Atlanta, GA 30331
(470) 429-1431
✔ PECOS27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paradise For Living Services, Inc.'s NPI number?

The NPI number for Paradise For Living Services, Inc. is 1063763720. It was assigned to this organization in the NPPES registry on September 20, 2012.

Where is Paradise For Living Services, Inc. located?

Paradise For Living Services, Inc. is located at 2165 W Park Ct Ste Abc, Stone Mountain, GA 30087. The listed phone number is (404) 522-3555.

What is Paradise For Living Services, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Paradise For Living Services, Inc. enrolled in Medicare?

Yes. Paradise For Living Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paradise For Living Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Paradise For Living Services, Inc., in Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Paradise For Living Services, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Paradise For Living Services, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paradise For Living Services, Inc. was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.