SAMUELS HOLISTIC COUNSELING SERVICES LLC
NPI 1316779564
Counselor - Professional in Stockbridge, GA

Active since August 16, 2024
5534 N HENRY BLVD, STOCKBRIDGE, GA 30281(770) 893-8044 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2025, Aug 16, 2024 (2 updates tracked since 2024).

About Samuels Holistic Counseling Services Llc NPPES

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

SAMUELS HOLISTIC COUNSELING SERVICES LLC (NPI 1316779564) is a healthcare organization registered as a professional in Stockbridge, Georgia and active in the NPI registry since August 2024. The organization lists Terry Samuels, Owner, as its authorized official.

NPPES Registry Identity

NPI1316779564
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameSAMUELS HOLISTIC COUNSELING SERVICES LLC
Location Address5534 N HENRY BLVDStockbridge, GA 30281-3220
Mailing Address5534 N Henry BlvdStockbridge, GA 30281-3220 · (770) 893-8044 · Fax (678) 545-0821
Organization SubpartNo
Authorized OfficialTerry SamuelsOwner · (770) 893-8044
Enumeration DateAugust 16, 2024
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1316779564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
5534 N HENRY BLVD, Stockbridge, GA 30281

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuels Holistic Counseling Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Samuels Holistic Counseling Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1649720913
5534 N HENRY BLVD
Stockbridge, GA 30281
(770) 893-8044
✔ PECOSSame address
Mental Health Counselor
NPI 1851081343
107 ENTERPRISE PATH STE 1
Hiram, GA 30141
(404) 207-9749
✔ PECOS✔ Accepts Medicare38 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 Samuels Holistic Counseling Services LLC's NPI number?

The NPI number for Samuels Holistic Counseling Services LLC is 1316779564. It was assigned to this organization in the NPPES registry on August 16, 2024.

Where is Samuels Holistic Counseling Services LLC located?

Samuels Holistic Counseling Services LLC is located at 5534 N Henry Blvd, Stockbridge, GA 30281. The listed phone number is (770) 893-8044.

What is Samuels Holistic Counseling Services LLC's specialty?

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

Is Samuels Holistic Counseling Services LLC enrolled in Medicare?

Yes. Samuels Holistic Counseling Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Samuels Holistic Counseling Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Samuels Holistic Counseling Services LLC, in Clinical Psychologist and Mental Health Counselor. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samuels Holistic Counseling Services LLC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.