DANIELLE LIDKE-PROW LPC
NPI 1780315218
Counselor - Mental Health in Brunswick, GA
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Danielle Lidke-prow reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brunswick, GA 31520
- Reassigned Medicare billing, Georgia enrollment
- 70 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Danielle Lidke-prow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Lidke-prow reassigns Medicare benefits to Gateway Community Service Board (Brunswick, 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 Danielle Lidke-prow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Danielle Lidke-prow accept?
Health plans from Oscar Health list Danielle Lidke-prow 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 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.
# Danielle Lidke-Prow, LPC · NPI 1780315218
Mental Health provider in Brunswick, Georgia. Individual provider, active in the CMS NPPES registry since June 24, 2022.
## Identity
- **NPI:** 1780315218 (Entity type: Individual)
- **Enumerated:** June 24, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LPC012120 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 513 GLOUCESTER ST, Brunswick, GA 31520-7014
- **Phone:** (912) 289-2497
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Gateway Community Service Board (NPI 1558478214, Brunswick, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1780315218) · Data from the CMS NPPES public registry.