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MRS. ALLISON ZITO BASHAM M.A., LPC
NPI 1407290117
Counselor - Addiction (Substance Use Disorder) in Roswell, GA

Active since April 24, 2013Opted out of Medicare · through Sep 5, 2026
555 SUN VALLEY DR, SUITE P-4, ROSWELL, GA 30076(678) 381-1687(678) 381-8020 Get Directions Write a Review

NPPES record last updated: June 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Allison Zito Basham M.a., Lpc NPPES

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

MRS. ALLISON ZITO BASHAM M.A., LPC (NPI 1407290117) is an individual addiction (substance use disorder) provider in Roswell, Georgia, licensed in Georgia (LPC006374) and active in the NPI registry since April 2013. She has opted out of Medicare through September 5, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407290117
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. ALLISON ZITO BASHAMCredential: M.A., LPC
Location Address555 SUN VALLEY DR, SUITE P-4Roswell, GA 30076-5612
Mailing Address555 Sun Valley Dr, Suite P-4Roswell, GA 30076-5612 · (678) 381-1687 · Fax (678) 381-8020
Phone(678) 381-1687
Fax(678) 381-8020
Sole ProprietorYes
Enumeration DateApril 24, 2013
Last NPPES UpdateJune 22, 2016
✔ NPI 1407290117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in GA · LPC006374
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC006374 (GA)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC006374 (GA)
555 SUN VALLEY DR, Roswell, GA 30076
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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

Mrs. Allison Zito Basham M.a., 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 September 5, 2024 through September 5, 2026.

Opt-Out Effective DateSeptember 5, 2024
Opt-Out In Effect ThroughSeptember 5, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

MRS. LINDA KAY MERRION LPC, LMFT
Counselor (Professional)
555 SUN VALLEY DR, L-4
ROSWELL, GA 30076
Fulton County (770) 641-7720
DR. RHETT BERGERON M.D
Family Medicine
555 SUN VALLEY DR, SUITE D
ROSWELL, GA 30076
Fulton County (678) 990-5401
ADVANCED FAMILY WELLNESS GROUP LLC
Chiropractor
555 SUN VALLEY DR, SUITE A3
ROSWELL, GA 30076
Fulton County (770) 485-7101
SCOT N. BAY, MD, PC
Psychiatry & Neurology (Psychiatry)
555 SUN VALLEY DR, B1
ROSWELL, GA 30076
Fulton County (770) 422-2295
MRS. LORI WINDHAM LPC
Counselor (Professional)
555 SUN VALLEY DR, BLDG F SUITE 1A
ROSWELL, GA 30076
Fulton County (770) 998-0989
JAMES M SIWY PH.D.
Psychologist (Group Psychotherapy)
555 SUN VALLEY DR, SUITE L-4
ROSWELL, GA 30076
Fulton County (770) 641-7720
MRS. GRACE ANN MELSON CRNP
Nurse Practitioner
555 SUN VALLEY DR, BUILDING D
ROSWELL, GA 30076
Fulton County (678) 990-5401
MELANIE WARDLE ARNP
Nurse Practitioner (Family)
555 SUN VALLEY DR, SUITE D
ROSWELL, GA 30076
Fulton County (678) 990-5401

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 Basham's NPI number?

The NPI number for Allison Basham is 1407290117. It was assigned to this individual provider in the NPPES registry on April 24, 2013.

Where is Allison Basham located?

Allison Basham practices at 555 Sun Valley Dr Suite P-4, Roswell, GA 30076. The listed phone number is (678) 381-1687.

What is Allison Basham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Allison Basham enrolled in Medicare?

No. Allison Basham has opted out of Medicare through September 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Allison Basham was last updated on June 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.