DANIELLE LIDKE-PROW LPC
NPI 1780315218
Counselor - Mental Health in Brunswick, GA

Active since June 24, 2022PECOS EnrolledAccepts Medicare Assignment
513 GLOUCESTER ST, BRUNSWICK, GA 31520(912) 289-2497 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Danielle Lidke-prow Lpc NPPES

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

DANIELLE LIDKE-PROW LPC (NPI 1780315218) is an individual mental health provider in Brunswick, Georgia, licensed in Georgia (LPC012120) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brunswick, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780315218
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDANIELLE LIDKE-PROWCredential: LPC
Location Address513 GLOUCESTER STBrunswick, GA 31520-7014
Mailing Address1117 Kings CrossBrunswick, GA 31525-6822 · (303) 515-0125
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 24, 2022
NPPES CertifiedJune 16, 2022
NPI 1780315218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in GA · LPC012120
513 GLOUCESTER ST, Brunswick, GA 31520

Secondary Practice Location 1

Location 1700 Coastal Village DrBrunswick, GA 31520-1974 · Phone (912) 554-8500

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

Danielle Lidke-prow 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 ID5799229811
PECOS Enrollment IDI20240701001674
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 7

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

Counselor (Mental Health)
513 GLOUCESTER ST
BRUNSWICK, GA 31520
Counselor (Mental Health)
513 GLOUCESTER ST
BRUNSWICK, GA 31520
Social Worker (Clinical)
513 GLOUCESTER ST
BRUNSWICK, GA 31520
Counselor (Professional)
513 GLOUCESTER ST
BRUNSWICK, GA 31520
Counselor (Mental Health)
513 GLOUCESTER ST
BRUNSWICK, GA 31520
Social Worker (Clinical)
513 GLOUCESTER ST
BRUNSWICK, GA 31520
Counselor (Mental Health)
513 GLOUCESTER ST
BRUNSWICK, GA 31520

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 Danielle Lidke-prow's NPI number?

The NPI number for Danielle Lidke-prow is 1780315218. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Danielle Lidke-prow located?

Danielle Lidke-prow practices at 513 Gloucester St, Brunswick, GA 31520. The listed phone number is (912) 289-2497.

What is Danielle Lidke-prow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Danielle Lidke-prow enrolled in Medicare?

Yes. Danielle Lidke-prow 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 Danielle Lidke-prow was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.