MERCELINE KAVEKE MUTISO
NPI 1619793080
Counselor - Professional in Atlanta, GA
About Merceline Kaveke Mutiso NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCELINE KAVEKE MUTISO (NPI 1619793080) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (LPC010764) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Merceline Kaveke Mutiso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Merceline Mutiso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Georgia enrollment
- 994 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 Merceline Mutiso's NPI number?
The NPI number for Merceline Mutiso is 1619793080. It was assigned to this individual provider in the NPPES registry on December 2, 2024.
Where is Merceline Mutiso located?
Merceline Mutiso practices at PO Box 421694, Atlanta, GA 30342. The listed phone number is (404) 326-7030.
What is Merceline Mutiso's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Merceline Mutiso enrolled in Medicare?
Yes. Merceline Mutiso is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Merceline Mutiso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Merceline Mutiso reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Merceline Mutiso'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 Merceline Mutiso was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Merceline Kaveke Mutiso · NPI 1619793080
Professional provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since December 2, 2024.
## Identity
- **NPI:** 1619793080 (Entity type: Individual)
- **Enumerated:** December 2, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC010764 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** PO BOX 421694, Atlanta, GA 30342-8694
- **Phone:** (404) 326-7030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619793080) · Data from the CMS NPPES public registry.