MRS. OLIVIA GORDON-THOMAS LPC
NPI 1790264901
Counselor - Professional in Conyers, GA
About Mrs. Olivia Gordon-thomas Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. OLIVIA GORDON-THOMAS LPC (NPI 1790264901) is an individual professional provider in Conyers, Georgia, licensed in Georgia (LPC014842) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Olivia Gordon-thomas Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Olivia Gordon-thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Conyers, GA 30094
- Reassigned Medicare billing, Georgia enrollment
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 Olivia Gordon-thomas's NPI number?
The NPI number for Olivia Gordon-thomas is 1790264901. It was assigned to this individual provider in the NPPES registry on August 8, 2018. The provider is also known as Mrs. Olivia Thomas Lpc.
Where is Olivia Gordon-thomas located?
Olivia Gordon-thomas practices at 1951 Honey Creek Cmns SE, Conyers, GA 30013. The listed phone number is (404) 800-5255.
What is Olivia Gordon-thomas's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Olivia Gordon-thomas enrolled in Medicare?
Yes. Olivia Gordon-thomas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Olivia Gordon-thomas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Gordon-thomas reassigns Medicare benefits to Graceful Serenity Counseling LLC (Conyers, 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 Olivia Gordon-thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Olivia Gordon-thomas was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.
# Mrs. Olivia Gordon-Thomas, LPC · NPI 1790264901
Professional provider in Conyers, Georgia. Individual provider, active in the CMS NPPES registry since August 8, 2018.
## Identity
- **NPI:** 1790264901 (Entity type: Individual)
- **Enumerated:** August 8, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC014842 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1951 HONEY CREEK CMNS SE, Conyers, GA 30013-5806
- **Phone:** (404) 800-5255 · **Fax:** (470) 974-2125
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Graceful Serenity Counseling LLC (NPI 1124912662, Conyers, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790264901) · Data from the CMS NPPES public registry.