MS. LISA COTTRELL L.P.C.
NPI 1720353659
Counselor - Professional in Decatur, GA
- Individual
- Female
- Counselor
- Professional
- Opted-Out Medicare
About LISA COTTRELL
This page provides the complete NPI Profile along with additional information for Lisa Cottrell, a provider established in Decatur, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1720353659 assigned on March 2012. The practitioner's primary taxonomy code is 101YP2500X with license number LPC004983 (GA). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1720353659 Verify this NPI
- Provider Name
- MS. LISA COTTRELL L.P.C.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 601 W PONCE DE LEON AVE DECATUR, GA 30030
- Location Phone
- (404) 931-3066
- Mailing Address
- PO BOX 465 AVONDALE ESTATES, GA 30002
- Mailing Phone
- (404) 931-3066
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-10-2012
- Last Update Date
- 03-10-2012
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Lisa Cottrell opted out of Medicare effective on 01-24-2024 until 01-24-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPC004983
- License State
- GA
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-24-2024
Opt-Out End Date: 01-24-2026
Eligible to Order and Refer? No
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720353659, enumerated as an "individual" on March 10, 2012.
The provider is located at 601 W PONCE DE LEON AVE DECATUR, GA 30030 and the phone number is (404) 931-3066.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
