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REBUILDING LIVES COUNSELING
NPI 1215288097
Counselor - Professional in Flowery Branch, GA

Active since September 20, 2012
4875 HOG MOUNTAIN RD, FLOWERY BRANCH, GA 30542(470) 577-4630(678) 585-6685 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rebuilding Lives Counseling NPPES

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

REBUILDING LIVES COUNSELING (NPI 1215288097) is a healthcare organization registered as a professional in Flowery Branch, Georgia and active in the NPI registry since September 2012. The organization lists Nedra Penland, Owner, as its authorized official.

NPPES Registry Identity

NPI1215288097
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameREBUILDING LIVES COUNSELING
Location Address4875 HOG MOUNTAIN RDFlowery Branch, GA 30542-3476
Mailing Address4875 Hog Mountain RdFlowery Branch, GA 30542-3476 · (470) 577-4630 · Fax (678) 585-6685
Phone(470) 577-4630
Fax(678) 585-6685
Organization SubpartNo
Authorized OfficialNedra PenlandOwner · (470) 577-4630
Enumeration DateSeptember 20, 2012
Last NPPES UpdateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1215288097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 005762
4875 HOG MOUNTAIN RD, Flowery Branch, GA 30542
Open in Google Maps ↗

Other Identifiers 1

Medicaid006862116AGA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebuilding Lives Counseling 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 Rebuilding Lives Counseling, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nedra Penland, LPC
Mental Health Counselor
NPI 1437489788
35 PATTERSON RD
Lawrenceville, GA 30042
(678) 835-8144
✔ PECOS18 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 Rebuilding Lives Counseling's NPI number?

The NPI number for Rebuilding Lives Counseling is 1215288097. It was assigned to this organization in the NPPES registry on September 20, 2012.

Where is Rebuilding Lives Counseling located?

Rebuilding Lives Counseling is located at 4875 Hog Mountain Rd, Flowery Branch, GA 30542. The listed phone number is (470) 577-4630.

What is Rebuilding Lives Counseling's specialty?

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

Is Rebuilding Lives Counseling enrolled in Medicare?

Yes. Rebuilding Lives Counseling is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rebuilding Lives Counseling?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Rebuilding Lives Counseling. 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.

What insurance does Rebuilding Lives Counseling accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Rebuilding Lives Counseling as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebuilding Lives Counseling was last updated on July 17, 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.