JEREMIAH TREE CCS
NPI 1548099682
Counselor - Professional in Brunswick, GA
About Jeremiah Tree Ccs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMIAH TREE CCS (NPI 1548099682) is a healthcare organization registered as a professional in Brunswick, Georgia and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Floral City and lists Leeann Gumulauskas, Lpc/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeremiah Tree Ccs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeremiah Tree Ccs, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jeremiah Tree Ccs's NPI number?
The NPI number for Jeremiah Tree Ccs is 1548099682. It was assigned to this organization in the NPPES registry on July 29, 2024.
Where is Jeremiah Tree Ccs located?
Jeremiah Tree Ccs is located at 501 Gloucester St Ste 117, Brunswick, GA 31520. The listed phone number is (912) 244-9919.
What is Jeremiah Tree Ccs's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jeremiah Tree Ccs enrolled in Medicare?
Yes. Jeremiah Tree Ccs is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jeremiah Tree Ccs?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Jeremiah Tree Ccs. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jeremiah Tree Ccs was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.
# Jeremiah Tree Ccs · NPI 1548099682
Professional organization in Brunswick, Georgia. Organization record, active in the CMS NPPES registry since July 29, 2024.
## Identity
- **NPI:** 1548099682 (Entity type: Organization)
- **Enumerated:** July 29, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Leeann Gumulauskas, LPC/OWNER
## Practice location
- **Address:** 501 GLOUCESTER ST STE 117, Brunswick, GA 31520-7030
- **Phone:** (912) 244-9919
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548099682) · Data from the CMS NPPES public registry.