REVERE COUNSELING AND CARE MANAGEMENT LLC
NPI 1114429412
Social Worker in Decatur, GA
About Revere Counseling And Care Management Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REVERE COUNSELING AND CARE MANAGEMENT LLC (NPI 1114429412) is a healthcare organization registered as a social worker in Decatur, Georgia and active in the NPI registry since March 2018. The organization lists Stephanie Lynn Roach, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Revere Counseling And Care Management Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Revere Counseling And Care Management LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Revere Counseling And Care Management LLC's NPI number?
The NPI number for Revere Counseling And Care Management LLC is 1114429412. It was assigned to this organization in the NPPES registry on March 2, 2018.
Where is Revere Counseling And Care Management LLC located?
Revere Counseling And Care Management LLC is located at 235 E Ponce De Leon Ave Ste 330, Decatur, GA 30030. The listed phone number is (404) 281-5422.
What is Revere Counseling And Care Management LLC's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Revere Counseling And Care Management LLC enrolled in Medicare?
Yes. Revere Counseling And Care Management LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Revere Counseling And Care Management LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Revere Counseling And Care Management LLC. 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. The largest specialties are Clinical Social Worker (7) and Mental Health Counselor (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Revere Counseling And Care Management LLC was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Revere Counseling And Care Management Llc · NPI 1114429412
Social Worker organization in Decatur, Georgia. Organization record, active in the CMS NPPES registry since March 2, 2018.
## Identity
- **NPI:** 1114429412 (Entity type: Organization)
- **Enumerated:** March 2, 2018
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **Organization subpart:** No
- **Authorized official:** Stephanie Roach, OWNER
## Practice location
- **Address:** 235 E PONCE DE LEON AVE STE 330, Decatur, GA 30030-3452
- **Phone:** (404) 281-5422
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (7), Mental Health Counselor (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 19, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1114429412) · Data from the CMS NPPES public registry.