CLOVER CENTER COUNSELING, LLC
NPI 1831059385
Counselor - Mental Health in Scottdale, GA

Active since November 17, 2025
610 KENTUCKY ST # 168, SCOTTDALE, GA 30079(404) 734-3777 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 2, 2026, Nov 17, 2025 (2 updates tracked since 2025).

About Clover Center Counseling, Llc NPPES

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

CLOVER CENTER COUNSELING, LLC (NPI 1831059385) is a healthcare organization registered as a mental health in Scottdale, Georgia and active in the NPI registry since November 2025. The organization lists Keryn Benasuly, Owner, as its authorized official.

NPPES Registry Identity

NPI1831059385
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCLOVER CENTER COUNSELING, LLC
Location Address610 KENTUCKY ST # 168Scottdale, GA 30079-1124
Mailing Address4618 Imperial Hills CtTucker, GA 30084-2821 · (404) 918-2746
Organization SubpartNo
Authorized OfficialKeryn BenasulyOwner · (404) 918-2746
Enumeration DateNovember 17, 2025
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1831059385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
610 KENTUCKY ST # 168, Scottdale, GA 30079

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clover Center Counseling, Llc 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 Clover Center Counseling, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1649772872
2000 RIVERSIDE PKWY STE 107
Lawrenceville, GA 30043
(678) 878-3215
✔ PECOS✔ Accepts Medicare19 mi

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 Clover Center Counseling, LLC's NPI number?

The NPI number for Clover Center Counseling, LLC is 1831059385. It was assigned to this organization in the NPPES registry on November 17, 2025.

Where is Clover Center Counseling, LLC located?

Clover Center Counseling, LLC is located at 610 Kentucky St # 168, Scottdale, GA 30079. The listed phone number is (404) 734-3777.

What is Clover Center Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Clover Center Counseling, LLC enrolled in Medicare?

Yes. Clover Center Counseling, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clover Center Counseling, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Clover Center Counseling, LLC. 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 Clover Center Counseling, LLC was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.