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DR. TERRY SAMUELS PH.D., MS, LPC
NPI 1649720913
Counselor - Professional in Stockbridge, GA

Active since October 10, 2016PECOS Enrolled
5534 N HENRY BLVD, STOCKBRIDGE, GA 30281(770) 893-8044 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2025, Jul 27, 2020, Jul 8, 2020 and 1 more (4 updates tracked since 2016).

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

NPI1649720913
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. TERRY SAMUELSCredential: PH.D., MS, LPC
Location Address5534 N HENRY BLVDStockbridge, GA 30281-3220
Mailing Address5534 N Henry BlvdStockbridge, GA 30281-3220 · (770) 893-8044 · Fax (678) 545-0821
Phone(770) 893-8044
Sole ProprietorYes
Enumeration DateOctober 10, 2016
Last NPPES UpdateAugust 6, 20254 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1649720913 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 · LPC011391
5534 N HENRY BLVD, Stockbridge, GA 30281
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMUELS HOLISTIC COUNSELING SERVICES LLC
Counselor (Professional)
5534 N HENRY BLVD
STOCKBRIDGE, GA 30281
Henry County (770) 893-8044

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.

What insurance does Terry Samuels accept?

Health plans from CareSource 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 12 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.