MRS. OLIVIA R GORDON-THOMAS - NPI 1790264901 - Counselor in Lawrenceville, GA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Mrs. Olivia R Gordon-thomas NPPES

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

MRS. OLIVIA R GORDON-THOMAS (NPI 1790264901) is an individual mental health provider in Lawrenceville, Georgia, licensed in Georgia (LPC014842) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790264901

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. OLIVIA R GORDON-THOMAS

Location Address230 S CULVER STLawrenceville, GA 30046-4806

Mailing Address898 Sweet Briar Trl SeConyers, GA 30094-3854 · (678) 807-9594

Phone(678) 807-9594

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 8, 2018

Last NPPES UpdateAugust 30, 2024

NPPES CertifiedAugust 30, 2024

✔ NPI 1790264901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in GA · LPC014842

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC014842 (GA)

230 S CULVER ST, Lawrenceville, GA 30046

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Other Names 1

Professional Name (2)Mrs. Olivia R Thomas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Mrs. Olivia R Gordon-thomas 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 ID1951800721

PECOS Enrollment IDI20250820001104

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 5

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

MS. TAREN LAZZARI CNS

Clinical Nurse Specialist (Psychiatric/Mental Health, Geropsychiatric)