MR. CARLTON WENDELL MITCHELL LPC (PLLC)
NPI 1821622267
Counselor - Professional in Fayetteville, GA

Active since February 25, 2020PECOS EnrolledAccepts Medicare Assignment
110 HABERSHAM DR STE 146, FAYETTEVILLE, GA 30214(903) 576-5136 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 16, 2026, Feb 25, 2020 (2 updates tracked since 2020).

About Mr. Carlton Wendell Mitchell Lpc (pllc) NPPES

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

MR. CARLTON WENDELL MITCHELL LPC (PLLC) (NPI 1821622267) is an individual professional provider in Fayetteville, Georgia, licensed in Georgia (013730) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1821622267
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. CARLTON WENDELL MITCHELLCredential: LPC (PLLC)
Location Address110 HABERSHAM DR STE 146Fayetteville, GA 30214-1381
Mailing Address110 Habersham Dr Ste 146Fayetteville, GA 30214-1381 · (903) 576-5136
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 25, 2020
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1821622267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in GA · 013730✔ Licensed in TX · 74092
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 19919 (NC)
110 HABERSHAM DR STE 146, Fayetteville, GA 30214

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

Mr. Carlton Wendell Mitchell Lpc (pllc) 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 ID6901348002
PECOS Enrollment IDI20240604003574, I20250111000057
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Carlton Mitchell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Georgia enrollment
  • 232 clinicians in this Medicare group
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Brightside Medical PC
  • 231 clinicians in this Medicare group
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 3422
San Francisco, CA 94131
  • Reassigned Medicare billing, Georgia enrollment
  • 57 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.

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 Carlton Mitchell's NPI number?

The NPI number for Carlton Mitchell is 1821622267. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Carlton Mitchell located?

Carlton Mitchell practices at 110 Habersham Dr Ste 146, Fayetteville, GA 30214. The listed phone number is (903) 576-5136.

What is Carlton Mitchell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Carlton Mitchell enrolled in Medicare?

Yes. Carlton Mitchell 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 organizations bill Medicare for Carlton Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlton Mitchell reassigns Medicare benefits to 3 organizations: Mental Health Specialty Group PA (Durham, NC), Brightside Medical, P.C. (San Francisco, CA) and Brightside Medical Of Michigan PC (San Francisco, CA). Each 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 Carlton Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlton Mitchell accept?

Health plans from Alliant Health Plans, Inc., Blue Cross and Blue Shield of Texas, CareSource, Cigna Healthcare and Harbor Health and 3 other insurers list Carlton Mitchell 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 Carlton Mitchell was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.