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MRS. ITA G. DORE
NPI 1427374255
Counselor - Professional in Woodstock, GA

Active since April 19, 2010PECOS Enrolled
409 OLD BORING LN, WOODSTOCK, GA 30189(770) 928-7300(770) 928-7558 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Ita G. Dore NPPES

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

MRS. ITA G. DORE (NPI 1427374255) is an individual professional provider in Woodstock, Georgia and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1427374255
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ITA G. DORE
Location Address409 OLD BORING LNWoodstock, GA 30189-2495
Mailing Address409 Old Boring LnWoodstock, GA 30189-2495 · (770) 928-7300 · Fax (770) 928-7558
Phone(770) 928-7300
Fax(770) 928-7558
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateApril 19, 2010
Last NPPES UpdateApril 21, 2010
✔ NPI 1427374255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
409 OLD BORING LN, Woodstock, GA 30189
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Other Names 1

Professional Name (2)Mrs. Ita G. Dore Ms

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ita G. Dore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507230067
PECOS Enrollment IDI20230401000085
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ita Dore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherokee Center For Change Counseling, Inc.
Same address
Professional
409 OLD BORING LANE
Woodstock, GA 30189
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1073892923 (770) 928-7300

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 18

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

MRS. LILY GAYLOR MOORE-COLL LAPC
Counselor (Professional)
409 OLD BORING LN
WOODSTOCK, GA 30189
Cherokee County (770) 928-7300
MELISSA ROBERTSON MFT
Counselor (Professional)
409 OLD BORING LN
WOODSTOCK, GA 30189
Cherokee County (770) 928-7300
BRIANNA WISEMAN LPC
Counselor (Professional)
409 OLD BORING LN
WOODSTOCK, GA 30189
Cherokee County (770) 928-7300
BRENDA NORTON HALL LPC
Counselor (Professional)
409 OLD BORING LN
WOODSTOCK, GA 30189
Cherokee County (770) 928-7300
JERRY WAYNE COX
Counselor (Professional)
409 OLD BORING LN
WOODSTOCK, GA 30189
Cherokee County (770) 928-7300
MAXINE FOMUNUNG
Nurse Practitioner (Psychiatric/Mental Health)
409 OLD BORING LN
WOODSTOCK, GA 30189
Cherokee County (470) 461-3426
WHITNEY P. MORBERG LPC
Counselor (Professional)
409 OLD BORING LN
WOODSTOCK, GA 30189
Cherokee County (770) 928-7300
CHEROKEE CENTER FOR CHANGE, INC
Counselor (Professional)
409 OLD BORING LN
WOODSTOCK, GA 30189
Cherokee County (770) 928-7300

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 Ita Dore's NPI number?

The NPI number for Ita Dore is 1427374255. It was assigned to this individual provider in the NPPES registry on April 19, 2010. The provider is also known as Mrs. Ita G. Dore Ms.

Where is Ita Dore located?

Ita Dore practices at 409 Old Boring Ln, Woodstock, GA 30189. The listed phone number is (770) 928-7300.

What is Ita Dore's specialty?

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

Is Ita Dore enrolled in Medicare?

Yes. Ita Dore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ita Dore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ita Dore reassigns Medicare benefits to Cherokee Center For Change Counseling, Inc. (Woodstock, 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 Ita Dore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ita Dore accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Ita Dore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ita Dore was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.