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GEORLEENA ELSIE DOUGLAS LCMHC
NPI 1487315115
Counselor - Mental Health in Raleigh, NC

Active since January 05, 2022PECOS Enrolled
8406 SIX FORKS RD STE 104, RALEIGH, NC 27615(919) 642-4857 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2025, Jan 5, 2022 (2 updates tracked since 2022).

About Georleena Elsie Douglas Lcmhc NPPES

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

GEORLEENA ELSIE DOUGLAS LCMHC (NPI 1487315115) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (17187) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487315115
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGEORLEENA ELSIE DOUGLASCredential: LCMHC
Location Address8406 SIX FORKS RD STE 104Raleigh, NC 27615-3075
Mailing AddressPo Box 746465Atlanta, GA 30374-6465 · (855) 234-7483
Phone(919) 642-4857
Sole ProprietorNo
Enumeration DateJanuary 5, 2022
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1487315115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NC · 17187✔ Licensed in NJ · 37PC01168200✔ Licensed in NC · A17187
8406 SIX FORKS RD STE 104, Raleigh, NC 27615
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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)

Georleena Elsie Douglas Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Georleena Douglas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thriveworks Clinical - North Carolina PC
Same address
Mental Health
8406 SIX FORKS RD STE 104
Raleigh, NC 27615
  • Reassigned Medicare billing, North Carolina enrollment
  • 188 clinicians in this Medicare group
NPI 1003303082 (919) 424-6045
Thrive Counseling LLC
108 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, New Jersey enrollment
  • 138 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

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 14

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

THRIVEWORKS CLINICAL - NORTH CAROLINA PC
Counselor (Mental Health)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 424-6045
JAKE BRADLEY LAMERS LCMHC
Counselor (Mental Health)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 642-4857
DR. ATIA JONTE WISE LCMHC
Counselor (Mental Health)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 373-2868
MICHAEL BLAISE MARCINOWSKI MA, LCMHC, NCC, CCTP
Counselor (Mental Health)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (973) 800-2817
LESLEY FUNK LCSW
Social Worker (Clinical)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (855) 675-4144
JASMIN ROSELEE CARMONA MFT PHD
Marriage & Family Therapist
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 606-7723
DR. THERESA ANNE COOGAN LMHCA, NCC, NCSC
Counselor (Mental Health)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 642-4857
MIKAYLA FOSKEY
Social Worker (Clinical)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (855) 284-7483

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 Georleena Douglas's NPI number?

The NPI number for Georleena Douglas is 1487315115. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Georleena Douglas located?

Georleena Douglas practices at 8406 Six Forks Rd Ste 104, Raleigh, NC 27615. The listed phone number is (919) 642-4857.

What is Georleena Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Georleena Douglas enrolled in Medicare?

Yes. Georleena Douglas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Georleena Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Georleena Douglas reassigns Medicare benefits to 2 organizations: Thriveworks Clinical - North Carolina PC (Raleigh, NC) and Thrive Counseling LLC (Lynchburg, VA). Each 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 Georleena Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Georleena Douglas accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Georleena Douglas 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 Georleena Douglas was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.