FERN HAVEN COUNSELING, LLC
NPI 1124965942
Counselor - Professional in Carrollton, GA
About Fern Haven Counseling, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FERN HAVEN COUNSELING, LLC (NPI 1124965942) is a healthcare organization registered as a professional in Carrollton, Georgia and active in the NPI registry since April 2026. The organization lists Robin Gordon, 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)
Fern Haven 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 Fern Haven Counseling, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Fern Haven Counseling, LLC's NPI number?
The NPI number for Fern Haven Counseling, LLC is 1124965942. It was assigned to this organization in the NPPES registry on April 30, 2026.
Where is Fern Haven Counseling, LLC located?
Fern Haven Counseling, LLC is located at 119 Maple St Ste 100, Carrollton, GA 30117. The listed phone number is (770) 467-3569.
What is Fern Haven Counseling, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Fern Haven Counseling, LLC enrolled in Medicare?
Yes. Fern Haven Counseling, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fern Haven Counseling, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Fern Haven 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 Fern Haven Counseling, LLC was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Fern Haven Counseling, Llc · NPI 1124965942
Professional organization in Carrollton, Georgia. Organization record, active in the CMS NPPES registry since April 30, 2026.
## Identity
- **NPI:** 1124965942 (Entity type: Organization)
- **Enumerated:** April 30, 2026
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Robin Gordon, OWNER
## Practice location
- **Address:** 119 MAPLE ST STE 100, Carrollton, GA 30117-3259
- **Phone:** (770) 467-3569
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1124965942) · Data from the CMS NPPES public registry.