PATRICIA JACKSON WHALEN
NPI 1376058404
Counselor - Professional in Saint Marys, GA
About Patricia Jackson Whalen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICIA JACKSON WHALEN (NPI 1376058404) is an individual professional provider in Saint Marys, Georgia, licensed in Georgia (LPC011902) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
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 and accepts Medicare assignment
Patricia Jackson Whalen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Patricia Whalen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Marys, GA 31558
- Reassigned Medicare billing, Georgia enrollment
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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Patricia Whalen's NPI number?
The NPI number for Patricia Whalen is 1376058404. It was assigned to this individual provider in the NPPES registry on December 12, 2017.
Where is Patricia Whalen located?
Patricia Whalen practices at 708 Osborne St Ste 104, Saint Marys, GA 31558. The listed phone number is (470) 270-9268.
What is Patricia Whalen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Patricia Whalen enrolled in Medicare?
Yes. Patricia Whalen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Patricia Whalen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Whalen reassigns Medicare benefits to Hope For Shattered Heart LLC (Saint Marys, 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 Patricia Whalen'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 Patricia Whalen was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Patricia Jackson Whalen · NPI 1376058404
Professional provider in Saint Marys, Georgia. Individual provider, active in the CMS NPPES registry since December 12, 2017.
## Identity
- **NPI:** 1376058404 (Entity type: Individual)
- **Enumerated:** December 12, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC011902 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 708 OSBORNE ST STE 104, Saint Marys, GA 31558-8497
- **Phone:** (470) 270-9268 · **Fax:** (912) 576-5315
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Hope For Shattered Heart LLC (NPI 1700473162, Saint Marys, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** October 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376058404) · Data from the CMS NPPES public registry.