ISMAIL RAHEEM
NPI 1508454513
Counselor - Mental Health in Dallas, GA

Q: What is Ismail Raheem's NPI number?

The NPI number for Ismail Raheem is 1508454513. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Q: What is Ismail Raheem's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ismail Raheem was last updated on May 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.

Active since January 05, 2021PECOS Enrolled

43 AMANDA DR, DALLAS, GA 30157(706) 409-6280 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2025, Jan 5, 2021 (2 updates tracked since 2021).

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About Ismail Raheem NPPES

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

ISMAIL RAHEEM (NPI 1508454513) is an individual mental health provider in Dallas, Georgia, licensed in Georgia (LPC014810) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1508454513

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameISMAIL RAHEEM

Location Address43 AMANDA DRDallas, GA 30157-6057

Mailing Address43 Amanda DrDallas, GA 30157-6057

Phone(706) 409-6280

Sole ProprietorYes

Enumeration DateJanuary 5, 2021

Last NPPES UpdateMay 14, 20252 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1508454513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · LPC014810

43 AMANDA DR, Dallas, GA 30157

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Secondary Practice Location 1

Location 143 Amanda DrDallas, GA 30157-6057 · Phone (706) 409-6280

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ismail Raheem 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.

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 Ismail Raheem's NPI number?

The NPI number for Ismail Raheem is 1508454513. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Ismail Raheem located?

Ismail Raheem practices at 43 Amanda Dr, Dallas, GA 30157. The listed phone number is (706) 409-6280.

What is Ismail Raheem's specialty?

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

Is Ismail Raheem enrolled in Medicare?

Yes. Ismail Raheem is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ismail Raheem was last updated on May 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.