EMILY GRACE SEIBERT M.ED.
NPI 1134640618
Counselor - Mental Health in Roswell, GA

Active since July 05, 2017Opted out of Medicare · through Jan 1, 2028
2106 MACY DR, ROSWELL, GA 30076(678) 288-6221 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emily Grace Seibert M.ed. NPPES

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

EMILY GRACE SEIBERT M.ED. (NPI 1134640618) is an individual mental health provider in Roswell, Georgia, licensed in Georgia (LPC011717) and active in the NPI registry since July 2017. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1134640618
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEMILY GRACE SEIBERTCredential: M.ED.
Location Address2106 MACY DRRoswell, GA 30076-6340
Mailing Address218 Cherokee Springs WayWoodstock, GA 30188-5616
Sole ProprietorYes
Enumeration DateJuly 5, 2017
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
NPI 1134640618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · LPC011717
2106 MACY DR, Roswell, GA 30076

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Emily Grace Seibert M.ed. 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
2106 MACY DR
ROSWELL, GA 30076

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 Emily Seibert's NPI number?

The NPI number for Emily Seibert is 1134640618. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Emily Seibert located?

Emily Seibert practices at 2106 Macy Dr, Roswell, GA 30076. The listed phone number is (678) 288-6221.

What is Emily Seibert's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Emily Seibert enrolled in Medicare?

No. Emily Seibert has opted out of Medicare through January 1, 2028. 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 Emily Seibert was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.