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CSRA PSYCHOLOGICAL SERVICES LIMITED LIABILITY COMPANY
NPI 1811775216
Clinic/Center - Mental Health (Including Community Mental Health Center) in Evans, GA

Active since September 18, 2023
930 GLENHAVEN DR, EVANS, GA 30809(706) 814-6429(706) 814-6429 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Csra Psychological Services Limited Liability Company NPPES

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

CSRA PSYCHOLOGICAL SERVICES LIMITED LIABILITY COMPANY (NPI 1811775216) is a healthcare organization registered as a mental health (including community mental health center) in Evans, Georgia and active in the NPI registry since September 2023. The organization maintains a secondary practice location in Augusta and lists Elizabeth L Edwards, Owner, as its authorized official.

NPPES Registry Identity

NPI1811775216
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCSRA PSYCHOLOGICAL SERVICES LIMITED LIABILITY COMPANY
Location Address930 GLENHAVEN DREvans, GA 30809-0445
Mailing Address125 Commercial Blvd Po Box 204301Martinez, GA 30917-4301 · (706) 814-6429 · Fax (706) 814-6429
Phone(706) 814-6429
Fax(706) 814-6429
Organization SubpartNo
Authorized OfficialElizabeth L EdwardsOwner · (706) 814-6429
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1811775216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
930 GLENHAVEN DR, Evans, GA 30809
Open in Google Maps ↗

Secondary Practice Location 1

Location 1511 Courthouse LnAugusta, GA 30901-2447 · Phone (706) 814-6429

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Csra Psychological Services Limited Liability Company 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 Csra Psychological Services Limited Liability Company, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elizabeth Edwards, LPC
Mental Health Counselor
NPI 1114384054
930 GLENHAVEN DR
Evans, GA 30809
(706) 814-6429
✔ 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 Csra Psychological Services Limited Liability Company's NPI number?

The NPI number for Csra Psychological Services Limited Liability Company is 1811775216. It was assigned to this organization in the NPPES registry on September 18, 2023.

Where is Csra Psychological Services Limited Liability Company located?

Csra Psychological Services Limited Liability Company is located at 930 Glenhaven Dr, Evans, GA 30809. The listed phone number is (706) 814-6429.

What is Csra Psychological Services Limited Liability Company's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Csra Psychological Services Limited Liability Company enrolled in Medicare?

Yes. Csra Psychological Services Limited Liability Company is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Csra Psychological Services Limited Liability Company?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Csra Psychological Services Limited Liability Company. 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.

When was this NPI record last updated?

The NPPES record for Csra Psychological Services Limited Liability Company was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.