PSYCHOLOGY AND COUNSELING CENTERS PC
NPI 1417281619
Psychologist - Clinical in Cartersville, GA

Active since September 22, 2009
17 FELTON PL, SUITE A, CARTERSVILLE, GA 30120(770) 386-8996(770) 386-8100 Get Directions Write a Review

NPPES record last updated: September 22, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Psychology And Counseling Centers Pc NPPES

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

PSYCHOLOGY AND COUNSELING CENTERS PC (NPI 1417281619) is a healthcare organization registered as a clinical in Cartersville, Georgia and active in the NPI registry since September 2009. The organization lists William B Moon, Owner, as its authorized official.

NPPES Registry Identity

NPI1417281619
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePSYCHOLOGY AND COUNSELING CENTERS PC
Location Address17 FELTON PL, SUITE ACartersville, GA 30120-2153
Mailing Address17 Felton Pl, Suite ACartersville, GA 30120-2153 · (770) 386-8996 · Fax (770) 386-8100
Fax(770) 386-8100
Organization SubpartNo
Authorized OfficialWilliam B MoonOwner · (770) 386-8996
Enumeration DateSeptember 22, 2009
✔ NPI 1417281619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · PSY001063
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
17 FELTON PL, Cartersville, GA 30120

Other Identifiers 2

Medicare UPIN68BBBDCGA
Medicaid000418371FGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Psychology And Counseling Centers Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Psychology And Counseling Centers PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Psychologist
NPI 1770943326
17 FELTON PL SUITE A
Cartersville, GA 30120
(770) 386-8996
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1548357585
17 FELTON PL STE A
Cartersville, GA 30120
(770) 386-8996
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1407451164
17 FELTON PL STE A
Cartersville, GA 30120
(770) 386-8996
✔ PECOS0.1 mi
Clinical Psychologist
NPI 1437318375
8341 GRADY ST
Douglasville, GA 30134
(678) 715-8233
✔ PECOS✔ Accepts Medicare31 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 Psychology And Counseling Centers PC's NPI number?

The NPI number for Psychology And Counseling Centers PC is 1417281619. It was assigned to this organization in the NPPES registry on September 22, 2009.

Where is Psychology And Counseling Centers PC located?

Psychology And Counseling Centers PC is located at 17 Felton Pl Suite A, Cartersville, GA 30120. The listed phone number is (770) 386-8996.

What is Psychology And Counseling Centers PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Psychology And Counseling Centers PC enrolled in Medicare?

Yes. Psychology And Counseling Centers PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Psychology And Counseling Centers PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Psychology And Counseling Centers PC. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Psychology And Counseling Centers PC was last updated on September 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.