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GRACEFUL SERENITY COUNSELING LLC
NPI 1124912662
Counselor - Professional in Conyers, GA

Active since June 09, 2025
1775 PARKER RD SE STE 210, CONYERS, GA 30094(678) 807-9594(470) 974-2175 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Graceful Serenity Counseling Llc NPPES

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

GRACEFUL SERENITY COUNSELING LLC (NPI 1124912662) is a healthcare organization registered as a professional in Conyers, Georgia and active in the NPI registry since June 2025. The organization lists Olivia Gordon-thomas, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1124912662
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameGRACEFUL SERENITY COUNSELING LLC
Location Address1775 PARKER RD SE STE 210Conyers, GA 30094-6654
Mailing Address898 Sweet Briar Trl SeConyers, GA 30094-3854 · (347) 346-0156
Phone(678) 807-9594
Fax(470) 974-2175
Organization SubpartNo
Authorized OfficialOlivia Gordon-thomasCeo/owner · (678) 807-9594
Enumeration DateJune 9, 2025
NPPES CertifiedJune 8, 2025
✔ NPI 1124912662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1775 PARKER RD SE STE 210, Conyers, GA 30094
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Other Names 1

Other NameGraceful Serenity Counseling

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Graceful Serenity 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 Graceful Serenity Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Olivia Gordon-Thomas, LPC
Mental Health Counselor
NPI 1790264901
1951 HONEY CREEK CMNS SE
Conyers, GA 30013
(404) 800-5255
✔ PECOS3.5 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 Graceful Serenity Counseling LLC's NPI number?

The NPI number for Graceful Serenity Counseling LLC is 1124912662. It was assigned to this organization in the NPPES registry on June 9, 2025. The provider is also known as Graceful Serenity Counseling.

Where is Graceful Serenity Counseling LLC located?

Graceful Serenity Counseling LLC is located at 1775 Parker Rd SE Ste 210, Conyers, GA 30094. The listed phone number is (678) 807-9594.

What is Graceful Serenity Counseling LLC's specialty?

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

Is Graceful Serenity Counseling LLC enrolled in Medicare?

Yes. Graceful Serenity Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Graceful Serenity Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Graceful Serenity 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 Graceful Serenity Counseling LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.