ANISSA PREFONTAINE LCSW
NPI 1336326313
Counselor - Mental Health in Decatur, GA
About Anissa Prefontaine Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANISSA PREFONTAINE LCSW (NPI 1336326313) is an individual mental health provider in Decatur, Georgia, licensed in Connecticut (006617) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anissa Prefontaine Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Anissa Prefontaine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, GA 30030
DECATUR, GA 30030
DECATUR, GA 30030
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 Anissa Prefontaine's NPI number?
The NPI number for Anissa Prefontaine is 1336326313. It was assigned to this individual provider in the NPPES registry on January 22, 2008.
Where is Anissa Prefontaine located?
Anissa Prefontaine practices at 445 Winn Way, Decatur, GA 30030. The listed phone number is (404) 508-7700.
What is Anissa Prefontaine's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Anissa Prefontaine enrolled in Medicare?
Yes. Anissa Prefontaine is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Anissa Prefontaine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anissa Prefontaine reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The 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 Anissa Prefontaine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anissa Prefontaine was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Anissa Prefontaine, LCSW · NPI 1336326313
Mental Health provider in Decatur, Georgia. Individual provider, active in the CMS NPPES registry since January 22, 2008.
## Identity
- **NPI:** 1336326313 (Entity type: Individual)
- **Enumerated:** January 22, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 006617 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 445 WINN WAY, Decatur, GA 30030-1707
- **Phone:** (404) 508-7700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336326313) · Data from the CMS NPPES public registry.