DR. TERRY SAMUELS PH.D., MS, LPC
NPI 1649720913
Counselor - Professional in Stockbridge, GA
About Dr. Terry Samuels Ph.d., Ms, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TERRY SAMUELS PH.D., MS, LPC (NPI 1649720913) is an individual professional provider in Stockbridge, Georgia, licensed in Georgia (LPC011391) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Terry Samuels Ph.d., Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Terry Samuels reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 2 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOCKBRIDGE, GA 30281
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 Terry Samuels's NPI number?
The NPI number for Terry Samuels is 1649720913. It was assigned to this individual provider in the NPPES registry on October 10, 2016.
Where is Terry Samuels located?
Terry Samuels practices at 5534 N Henry Blvd, Stockbridge, GA 30281. The listed phone number is (770) 893-8044.
What is Terry Samuels's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Terry Samuels enrolled in Medicare?
Yes. Terry Samuels is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Terry Samuels's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Terry Samuels reassigns Medicare benefits to Samuels Holistic Counseling Services LLC (Stockbridge, 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 Terry Samuels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Terry Samuels accept?
Health plans from CareSource and Oscar Health list Terry Samuels 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 Terry Samuels was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Terry Samuels, PH.D., MS, LPC · NPI 1649720913
Professional provider in Stockbridge, Georgia. Individual provider, active in the CMS NPPES registry since October 10, 2016.
## Identity
- **NPI:** 1649720913 (Entity type: Individual)
- **Enumerated:** October 10, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC011391 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5534 N HENRY BLVD, Stockbridge, GA 30281-3220
- **Phone:** (770) 893-8044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Samuels Holistic Counseling Services LLC (NPI 1316779564, Stockbridge, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649720913) · Data from the CMS NPPES public registry.