AUTHENTIC SPIRIT COUNSELING SERVICES
NPI 1093426124
Counselor - Professional in Carrollton, GA
About Authentic Spirit Counseling Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTHENTIC SPIRIT COUNSELING SERVICES (NPI 1093426124) is a healthcare organization registered as a professional in Carrollton, Georgia and active in the NPI registry since December 2022. The organization maintains a secondary practice location in Carrollton and lists Tiffani Fryar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Authentic Spirit Counseling Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Authentic Spirit Counseling Services, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Authentic Spirit Counseling Services's NPI number?
The NPI number for Authentic Spirit Counseling Services is 1093426124. It was assigned to this organization in the NPPES registry on December 9, 2022.
Where is Authentic Spirit Counseling Services located?
Authentic Spirit Counseling Services is located at 2032 Maple St, Carrollton, GA 30117. The listed phone number is (678) 890-6127.
What is Authentic Spirit Counseling Services's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Authentic Spirit Counseling Services enrolled in Medicare?
Yes. Authentic Spirit Counseling Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Authentic Spirit Counseling Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Authentic Spirit Counseling Services. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Authentic Spirit Counseling Services was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Authentic Spirit Counseling Services · NPI 1093426124
Professional organization in Carrollton, Georgia. Organization record, active in the CMS NPPES registry since December 9, 2022.
## Identity
- **NPI:** 1093426124 (Entity type: Organization)
- **Enumerated:** December 9, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Tiffani Fryar, OWNER
## Practice location
- **Address:** 2032 MAPLE ST, Carrollton, GA 30117
- **Phone:** (678) 890-6127
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1093426124) · Data from the CMS NPPES public registry.