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GENEVIEVE BRIENNE ELLIS LPC
NPI 1104537380
Counselor - Professional in Woodstock, GA

Active since December 08, 2022PECOS EnrolledAccepts Medicare Assignment
100 STONEFOREST DR STE 230, WOODSTOCK, GA 30189(470) 552-8470(470) 437-3924 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2026, Dec 24, 2025, Dec 8, 2022 (3 updates tracked since 2022).

About Genevieve Brienne Ellis Lpc NPPES

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

GENEVIEVE BRIENNE ELLIS LPC (NPI 1104537380) is an individual professional provider in Woodstock, Georgia, licensed in Georgia (LPC014369) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104537380
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameGENEVIEVE BRIENNE ELLISCredential: LPC
Location Address100 STONEFOREST DR STE 230Woodstock, GA 30189-4903
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Phone(470) 552-8470
Fax(470) 437-3924
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 8, 2022
Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1104537380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC014369
100 STONEFOREST DR STE 230, Woodstock, GA 30189
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Genevieve Brienne Ellis Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002251170
PECOS Enrollment IDI20240228002200
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Genevieve Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Personal Recovery Network LLC
45 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

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

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON EDWARD WATTS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
DR. JACQUELYNE R BODEA PMHNP-BC, CNM
Nurse Practitioner (Psychiatric/Mental Health)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
MEAH NICOLE MCCRAY APRN-NP
Nurse Practitioner (Psychiatric/Mental Health)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
ANDREW SCOTT DANIEL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
JONATHAN HEATH RAUGHTON LCSW
Social Worker (Clinical)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
ABBIE NICOLE MEDICUS LPC
Counselor (Professional)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
JAY YOGENDRA PATEL MD
Psychiatry & Neurology (Psychiatry)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (470) 552-8470
AMBER LURANA THOMAS LPC
Counselor (Professional)
100 STONEFOREST DR STE 230
WOODSTOCK, GA 30189
Cherokee County (678) 314-0831

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 Genevieve Ellis's NPI number?

The NPI number for Genevieve Ellis is 1104537380. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Where is Genevieve Ellis located?

Genevieve Ellis practices at 100 Stoneforest Dr Ste 230, Woodstock, GA 30189. The listed phone number is (470) 552-8470.

What is Genevieve Ellis's specialty?

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

Is Genevieve Ellis enrolled in Medicare?

Yes. Genevieve Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Genevieve Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Genevieve Ellis reassigns Medicare benefits to Personal Recovery Network LLC (Stockbridge, GA). The 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 Genevieve Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Genevieve Ellis was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.