ISMAIL RAHEEM
NPI 1508454513
Counselor - Mental Health in Dallas, GA
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ismail Raheem is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ismail Raheem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Highland Rivers Community Service Board
- 142 clinicians in this Medicare group
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 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.
Which organization bills Medicare for Ismail Raheem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ismail Raheem reassigns Medicare benefits to Highland Rivers Csb (Hiram, 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 Ismail Raheem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 17 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.
# Ismail Raheem · NPI 1508454513
Mental Health provider in Dallas, Georgia. Individual provider, active in the CMS NPPES registry since January 5, 2021.
## Identity
- **NPI:** 1508454513 (Entity type: Individual)
- **Enumerated:** January 5, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC014810 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 43 AMANDA DR, Dallas, GA 30157-6057
- **Phone:** (706) 409-6280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** Highland Rivers Csb (NPI 1578626917, Hiram, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508454513) · Data from the CMS NPPES public registry.