REDESIGN YOUR LIFE COUNSELING LLC
NPI 1124842034
Social Worker - Clinical in Kingsland, GA

Active since November 08, 2024
130 N GROSS RD STE 123, KINGSLAND, GA 31548(912) 467-9538 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Redesign Your Life Counseling Llc NPPES

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

REDESIGN YOUR LIFE COUNSELING LLC (NPI 1124842034) is a healthcare organization registered as a clinical in Kingsland, Georgia and active in the NPI registry since November 2024. The organization lists Alessandra M Ellis-lodmell, Therapist, as its authorized official.

NPPES Registry Identity

NPI1124842034
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameREDESIGN YOUR LIFE COUNSELING LLC
Location Address130 N GROSS RD STE 123Kingsland, GA 31548-6263
Mailing Address121 Tidal Marsh WaySaint Marys, GA 31558-5809 · (912) 467-9538
Organization SubpartNo
Authorized OfficialAlessandra M Ellis-lodmellTherapist · (912) 467-9538
Enumeration DateNovember 8, 2024
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1124842034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
130 N GROSS RD STE 123, Kingsland, GA 31548

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Redesign Your Life Counseling Llc 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 Redesign Your Life Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1932949443
121 TIDAL MARSH WAY
Saint Marys, GA 31558
(912) 467-9538
✔ PECOS✔ Accepts Medicare3.8 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 Redesign Your Life Counseling LLC's NPI number?

The NPI number for Redesign Your Life Counseling LLC is 1124842034. It was assigned to this organization in the NPPES registry on November 8, 2024.

Where is Redesign Your Life Counseling LLC located?

Redesign Your Life Counseling LLC is located at 130 N Gross Rd Ste 123, Kingsland, GA 31548. The listed phone number is (912) 467-9538.

What is Redesign Your Life Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Redesign Your Life Counseling LLC enrolled in Medicare?

Yes. Redesign Your Life Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Redesign Your Life Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Redesign Your Life Counseling 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Redesign Your Life Counseling LLC was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.