COUNSELING SERVICES OF LAGRANGE, INC.
NPI 1790197804
Psychologist - Clinical in Lagrange, GA

Q: What is Counseling Services Of Lagrange, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 22, 2014

610 RIDLEY AVE, LAGRANGE, GA 30240(706) 884-5050(706) 884-5056 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Counseling Services Of Lagrange, Inc. NPPES

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

COUNSELING SERVICES OF LAGRANGE, INC. (NPI 1790197804) is a healthcare organization registered as a clinical in Lagrange, Georgia and active in the NPI registry since May 2014. The organization lists Shannon Keith Dunlap, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1790197804

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCOUNSELING SERVICES OF LAGRANGE, INC.

Location Address610 RIDLEY AVELagrange, GA 30240-2236

Mailing Address610 Ridley AveLagrange, GA 30240-2236 · (706) 884-5050 · Fax (706) 884-5056

Phone(706) 884-5050

Fax(706) 884-5056

Organization SubpartNo

Authorized OfficialShannon Keith DunlapOwner/director · (706) 884-5050

Enumeration DateMay 22, 2014

Last NPPES UpdateJune 29, 2015

✔ NPI 1790197804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in GA · PSY003497

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

610 RIDLEY AVE, Lagrange, GA 30240

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Counseling Services Of Lagrange, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Counseling Services Of Lagrange, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Shannon Dunlap, PHD

Clinical Psychologist

NPI 1194950857

610 RIDLEY AVE
Lagrange, GA 30240

(706) 884-5050

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Counseling Services Of Lagrange, Inc.'s NPI number?

The NPI number for Counseling Services Of Lagrange, Inc. is 1790197804. It was assigned to this organization in the NPPES registry on May 22, 2014.

Where is Counseling Services Of Lagrange, Inc. located?

Counseling Services Of Lagrange, Inc. is located at 610 Ridley Ave, Lagrange, GA 30240. The listed phone number is (706) 884-5050.

What is Counseling Services Of Lagrange, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Counseling Services Of Lagrange, Inc. enrolled in Medicare?

Yes. Counseling Services Of Lagrange, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Counseling Services Of Lagrange, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Counseling Services Of Lagrange, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Counseling Services Of Lagrange, Inc. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Counseling Services Of Lagrange, Inc. 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 Counseling Services Of Lagrange, Inc. was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.