SAMIRA BLAND LPC
NPI 1760016984
Counselor - Professional in Stockbridge, GA

Active since February 26, 2020PECOS EnrolledAccepts Medicare Assignment
275 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281(770) 389-8100 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Sep 5, 2024, Feb 26, 2020 (3 updates tracked since 2020).

About Samira Bland Lpc NPPES

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

SAMIRA BLAND LPC (NPI 1760016984) is an individual professional provider in Stockbridge, Georgia, licensed in Georgia (LPC014952) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Decatur, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760016984
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSAMIRA BLANDCredential: LPC
Location Address275 COUNTRY CLUB DRStockbridge, GA 30281-7349
Mailing Address315 W Ponce De Leon Ave Ste 300Decatur, GA 30030-2481 · (770) 609-6976
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 26, 2020
Last NPPES UpdateSeptember 17, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
NPI 1760016984 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 · LPC014952
275 COUNTRY CLUB DR, Stockbridge, GA 30281

Secondary Practice Location 1

Location 1315 W Ponce De Leon Ave Ste 300Decatur, GA 30030-2481 · Phone (770) 609-6976

Other Identifiers 1

Other052338105GA · Driver License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samira Bland Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860926359
PECOS Enrollment IDI20241106001572
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 20

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

Psychologist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Psychologist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Marriage & Family Therapist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Marriage & Family Therapist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Counselor (Professional)
275 COUNTRY CLUB DR
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 Samira Bland's NPI number?

The NPI number for Samira Bland is 1760016984. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Where is Samira Bland located?

Samira Bland practices at 275 Country Club Dr, Stockbridge, GA 30281. The listed phone number is (770) 389-8100.

What is Samira Bland's specialty?

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

Is Samira Bland enrolled in Medicare?

Yes. Samira Bland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samira Bland was last updated on September 17, 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.