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ALLISON STALLWORTH LPC
NPI 1235987355
Counselor - Professional in Evans, GA

Active since May 13, 2024Opted out of Medicare · through May 20, 2028
601 N BELAIR SQ STE 3, EVANS, GA 30809(706) 833-0780 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Allison Stallworth Lpc NPPES

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

ALLISON STALLWORTH LPC (NPI 1235987355) is an individual professional provider in Evans, Georgia, licensed in Georgia (LPC014717) and active in the NPI registry since May 2024. She has opted out of Medicare through May 20, 2028.

NPPES Registry Identity

NPI1235987355
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALLISON STALLWORTHCredential: LPC
Location Address601 N BELAIR SQ STE 3Evans, GA 30809-4322
Mailing Address2140 Vinings LnLawrenceville, GA 30043-2862 · (678) 634-3042
Phone(706) 833-0780
Sole ProprietorNo
Enumeration DateMay 13, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1235987355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC014717
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC014717 (GA)
601 N BELAIR SQ STE 3, Evans, GA 30809
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Allison Stallworth Lpc 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 May 20, 2024 through May 20, 2028.

Opt-Out Effective DateMay 20, 2024
Opt-Out In Effect ThroughMay 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

SARAH ROBERTS LCSW
Social Worker (Clinical)
601 N BELAIR SQ STE 3
EVANS, GA 30809
Columbia County (706) 250-1745
ANDREA WYNKOOP LMSW
Social Worker (Clinical)
601 N BELAIR SQ STE 3
EVANS, GA 30809
Columbia County (706) 833-0780
STEPHANIE STEED THERAPY LLC
Marriage & Family Therapist
601 N BELAIR SQ STE 3
EVANS, GA 30809
Columbia County (706) 833-0780
CAITLIN ELIE LAPC
Counselor (Professional)
601 N BELAIR SQ STE 3
EVANS, GA 30809
Columbia County (706) 833-0780
MS. CASSIDY NICOLE THIGPEN MS
Counselor (Professional)
601 N BELAIR SQ STE 3
EVANS, GA 30809
Columbia County (706) 833-0780
ERIN PARK LPC
Counselor (Professional)
601 N BELAIR SQ STE 3
EVANS, GA 30809
Columbia County (706) 833-0780

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 Allison Stallworth's NPI number?

The NPI number for Allison Stallworth is 1235987355. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Allison Stallworth located?

Allison Stallworth practices at 601 N Belair Sq Ste 3, Evans, GA 30809. The listed phone number is (706) 833-0780.

What is Allison Stallworth's specialty?

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

Is Allison Stallworth enrolled in Medicare?

No. Allison Stallworth has opted out of Medicare through May 20, 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 Allison Stallworth was last updated on May 13, 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.