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MS. MARY THERESA ABRAHAM MS LPC NCC MAC CPCS
NPI 1427124593
Counselor - Professional in Marietta, GA

Active since November 28, 2006Opted out of Medicare · through Jan 28, 2027
707 WHITLOCK AVE SW, SUITE H-10, MARIETTA, GA 30064(770) 591-7518(678) 498-2843 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2024, Feb 26, 2019 (2 updates tracked since 2019).

About Ms. Mary Theresa Abraham Ms Lpc Ncc Mac Cpcs NPPES

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

MS. MARY THERESA ABRAHAM MS LPC NCC MAC CPCS (NPI 1427124593) is an individual professional provider in Marietta, Georgia, licensed in Georgia (003709) and active in the NPI registry since November 2006. She has opted out of Medicare through January 28, 2027.

NPPES Registry Identity

NPI1427124593
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. MARY THERESA ABRAHAMCredential: MS LPC NCC MAC CPCS
Location Address707 WHITLOCK AVE SW, SUITE H-10Marietta, GA 30064-3000
Mailing Address707 Whitlock Ave Sw, Suite H-10Marietta, GA 30064-3000 · (770) 591-7518 · Fax (678) 498-2843
Phone(770) 591-7518
Fax(678) 498-2843
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedMarch 27, 2024
✔ NPI 1427124593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · 003709
707 WHITLOCK AVE SW, Marietta, GA 30064
Open in Google Maps ↗

Other Identifiers 7

Other10063297GA · Amerigroup
Other5732533GA · Aetna
Medicaid129577652AGA
Other726881000GA · Magellan
Other582262349GA · Humana
Other10063295GA · Amerigroup
Other1427124593GA · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Mary Theresa Abraham Ms Lpc Ncc Mac Cpcs 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 January 28, 2025 through January 28, 2027.

Opt-Out Effective DateJanuary 28, 2025
Opt-Out In Effect ThroughJanuary 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLI CORTES LCSW
Social Worker (Clinical)
707 WHITLOCK AVE SW, SUITE H-11
MARIETTA, GA 30064
Cobb County (678) 702-9853
DR. FRED FRANCIS WORRALL II DDS
Dentist (General Practice)
707 WHITLOCK AVE SW, SUITE D29
MARIETTA, GA 30064
Cobb County (770) 792-2300
LENORA MCKEOWN M.ED., LPC, NCC
Counselor (Professional)
707 WHITLOCK AVE SW, SUITE H-11
MARIETTA, GA 30064
Cobb County (678) 684-8849
DR. JAMES HUTSON DDS PC
Dentist (General Practice)
707 WHITLOCK AVE SW, B-22
MARIETTA, GA 30064
Cobb County (770) 424-7525
MS. COLLEEN ELIZABETH WALSH LPC
Counselor (Mental Health)
707 WHITLOCK AVE SW, SUITE C28
MARIETTA, GA 30064
Cobb County (404) 480-2038
DR. SCOTT PERLMAN DC
Chiropractor (Nutrition)
707 WHITLOCK AVE SW, STE. E14
MARIETTA, GA 30064
Cobb County (678) 797-1104
DR. KATHERINE R CADLE AU.D.
Audiologist
707 WHITLOCK AVE SW, SUITE A36
MARIETTA, GA 30064
Cobb County (770) 427-3033
TAWANNA LEWIS LPC
Counselor (Professional)
707 WHITLOCK AVE SW, SUITE H11
MARIETTA, GA 30064
Cobb County (770) 853-7074

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 Mary Abraham's NPI number?

The NPI number for Mary Abraham is 1427124593. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Mary Abraham located?

Mary Abraham practices at 707 Whitlock Ave SW Suite H-10, Marietta, GA 30064. The listed phone number is (770) 591-7518.

What is Mary Abraham's specialty?

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

Is Mary Abraham enrolled in Medicare?

No. Mary Abraham has opted out of Medicare through January 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Abraham was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.