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MAUDESTA SCOTT CALEB LPC
NPI 1518511740
Counselor - Professional in Grovetown, GA

Active since July 25, 2019PECOS Enrolled
4039 GATEWAY BLVD STE 201, GROVETOWN, GA 30813(706) 432-6866 Get Directions Write a Review

NPPES record last updated: July 1, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Apr 6, 2021, Jul 25, 2019 (3 updates tracked since 2019).

About Maudesta Scott Caleb Lpc NPPES

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

MAUDESTA SCOTT CALEB LPC (NPI 1518511740) is an individual professional provider in Grovetown, Georgia, licensed in Georgia (LPC010166) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1518511740
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMAUDESTA SCOTT CALEBCredential: LPC
Location Address4039 GATEWAY BLVD STE 201Grovetown, GA 30813-3390
Mailing Address1247 Paramount CtHephzibah, GA 30815-4554 · (478) 241-4349
Phone(706) 432-6866
Sole ProprietorYes
Enumeration DateJuly 25, 2019
Last NPPES UpdateJuly 1, 20233 updates tracked since enumeration
NPPES CertifiedJuly 1, 2023
✔ NPI 1518511740 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 · LPC010166
4039 GATEWAY BLVD STE 201, Grovetown, GA 30813
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Secondary Practice Location 1

Location 1246 Robert C Daniel Jr Pkwy # 1135Augusta, GA 30909-0803 · Phone (478) 241-4349

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maudesta Scott Caleb Lpc 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 Maudesta Caleb reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Personal Recovery Network LLC
116 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100
Mental Health Specialty Group PA
257 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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 Maudesta Caleb's NPI number?

The NPI number for Maudesta Caleb is 1518511740. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is Maudesta Caleb located?

Maudesta Caleb practices at 4039 Gateway Blvd Ste 201, Grovetown, GA 30813. The listed phone number is (706) 432-6866.

What is Maudesta Caleb's specialty?

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

Is Maudesta Caleb enrolled in Medicare?

Yes. Maudesta Caleb is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maudesta Caleb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maudesta Caleb reassigns Medicare benefits to 2 organizations: Personal Recovery Network LLC (Stockbridge, GA) and Mental Health Specialty Group PA (Durham, NC). 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 Maudesta Caleb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maudesta Caleb accept?

Health plans from Alliant Health Plans, Inc. and CareSource list Maudesta Caleb 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 Maudesta Caleb was last updated on July 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.