MARILYN DIANE PEARCE LMFT, PH.D.
NPI 1205170917
Marriage & Family Therapist in Kennesaw, GA

Active since November 19, 2012Opted out of Medicare · through Jan 1, 2028
3105 CREEKSIDE VILLAGE DR NW STE 801, KENNESAW, GA 30144(678) 468-9103 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marilyn Diane Pearce Lmft, Ph.d. NPPES

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

MARILYN DIANE PEARCE LMFT, PH.D. (NPI 1205170917) is an individual marriage & family therapist in Kennesaw, Georgia, licensed in Georgia (944) and active in the NPI registry since November 2012. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1205170917
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARILYN DIANE PEARCECredential: LMFT, PH.D.
Location Address3105 CREEKSIDE VILLAGE DR NW STE 801Kennesaw, GA 30144-4218
Mailing Address3105 Creekside Village Dr Nw Ste 801Kennesaw, GA 30144-4218 · (678) 468-9103
Sole ProprietorYes
Enumeration DateNovember 19, 2012
NPI 1205170917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in GA · 944
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3105 CREEKSIDE VILLAGE DR NW STE 801, Kennesaw, GA 30144

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Marilyn Diane Pearce Lmft, Ph.d. 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 2

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

Internal Medicine (Nephrology)
3105 CREEKSIDE VILLAGE DR NW STE 801
KENNESAW, GA 30144
Internal Medicine (Nephrology)
3105 CREEKSIDE VILLAGE DR NW STE 801
KENNESAW, GA 30144

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 Marilyn Pearce's NPI number?

The NPI number for Marilyn Pearce is 1205170917. It was assigned to this individual provider in the NPPES registry on November 19, 2012.

Where is Marilyn Pearce located?

Marilyn Pearce practices at 3105 Creekside Village Dr NW Ste 801, Kennesaw, GA 30144. The listed phone number is (678) 468-9103.

What is Marilyn Pearce's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Marilyn Pearce enrolled in Medicare?

No. Marilyn Pearce 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 Marilyn Pearce was last updated on November 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.