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MS. BEVERLY MONROE MERRIAM L.P.C.
NPI 1114155033
Counselor - Professional in Roswell, GA

Active since June 30, 2009Opted out of Medicare · through Sep 28, 2026
555 SUN VALLEY DR., L-4, FAMILY COUNSELING ASSOCIATES, BEVERLY MERRIAM LPC, ROSWELL, GA 30076(770) 641-7720 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Beverly Monroe Merriam L.p.c. NPPES

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

MS. BEVERLY MONROE MERRIAM L.P.C. (NPI 1114155033) is an individual professional provider in Roswell, Georgia, licensed in Georgia (LPC003482) and active in the NPI registry since June 2009. She has opted out of Medicare through September 28, 2026.

NPPES Registry Identity

NPI1114155033
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. BEVERLY MONROE MERRIAMCredential: L.P.C.
Location Address555 SUN VALLEY DR., L-4, FAMILY COUNSELING ASSOCIATES, BEVERLY MERRIAM LPCRoswell, GA 30076
Mailing Address555 Sun Valley Dr., Bldg L. Suite 4, Family Counseling Associates, Beverly Merriam LpcRoswell, GA 30076 · (770) 641-7720
Phone(770) 641-7720
Sole ProprietorYes
Enumeration DateJune 30, 2009
✔ NPI 1114155033 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 · LPC003482
555 SUN VALLEY DR., L-4, Roswell, GA 30076
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Beverly Monroe Merriam L.p.c. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 28, 2024 through September 28, 2026.

Opt-Out Effective DateSeptember 28, 2024
Opt-Out In Effect ThroughSeptember 28, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Beverly Merriam's NPI number?

The NPI number for Beverly Merriam is 1114155033. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Beverly Merriam located?

Beverly Merriam practices at 555 Sun Valley Dr., L-4 Family Counseling Associates, Beverly Merriam Lpc, Roswell, GA 30076. The listed phone number is (770) 641-7720.

What is Beverly Merriam's specialty?

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

Is Beverly Merriam enrolled in Medicare?

No. Beverly Merriam has opted out of Medicare through September 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Beverly Merriam was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.