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FAMILY ART THERAPY CENTER PC
NPI 1609916147
Counselor - Professional in Clayton, GA

Active since February 07, 2007
109 OLD LIVERY STREET, CLAYTON, GA 30525(706) 782-0717(706) 782-5266 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 13, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Family Art Therapy Center Pc NPPES

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

FAMILY ART THERAPY CENTER PC (NPI 1609916147) is a healthcare organization registered as a professional in Clayton, Georgia and active in the NPI registry since February 2007. The organization lists Christy Elizabeth Black, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609916147
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameFAMILY ART THERAPY CENTER PC
Location Address109 OLD LIVERY STREETClayton, GA 30525
Mailing AddressPo Box 1689Clayton, GA 30525-0043 · (706) 782-0717 · Fax (706) 782-5266
Phone(706) 782-0717
Fax(706) 782-5266
Organization SubpartNo
Authorized OfficialChristy Elizabeth BlackCeo · (064) 903-5357
Enumeration DateFebruary 7, 2007
Last NPPES UpdateMarch 13, 20232 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1609916147 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 · LPC 003219
109 OLD LIVERY STREET, Clayton, GA 30525
Open in Google Maps ↗

Other Identifiers 3

Other10045514GA · Cmo Amerigroup
Other743776000GA · Cmo Magellan
Medicaid052483465AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Art Therapy Center Pc 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 Family Art Therapy Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christy Black, LPC, ATR-BC
Mental Health Counselor
NPI 1346380946
109 OLD LIVERY STREET
Clayton, GA 30525
(706) 782-0717
✔ PECOS✔ Accepts MedicareSame address

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 Family Art Therapy Center PC's NPI number?

The NPI number for Family Art Therapy Center PC is 1609916147. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Family Art Therapy Center PC located?

Family Art Therapy Center PC is located at 109 Old Livery Street, Clayton, GA 30525. The listed phone number is (706) 782-0717.

What is Family Art Therapy Center PC's specialty?

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

Is Family Art Therapy Center PC enrolled in Medicare?

Yes. Family Art Therapy Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Art Therapy Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Family Art Therapy Center PC. 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 Family Art Therapy Center PC was last updated on March 13, 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.