MRS. STEPHANIE MARIE LANDRUM M.ED., LPC, NCC
NPI 1851780118
Counselor - Professional in Peachtree City, GA

Active since January 09, 2015Opted out of Medicare · through Jan 15, 2028
21 EASTBROOK BND STE 110, PEACHTREE CITY, GA 30269(770) 741-2184(770) 215-0186 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2024, Mar 31, 2023, Mar 20, 2023 and 4 more (7 updates tracked since 2017).

About Mrs. Stephanie Marie Landrum M.ed., Lpc, Ncc NPPES

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

MRS. STEPHANIE MARIE LANDRUM M.ED., LPC, NCC (NPI 1851780118) is an individual professional provider in Peachtree City, Georgia, licensed in Georgia (LPC009832) and active in the NPI registry since January 2015. She has opted out of Medicare through January 15, 2028.

NPPES Registry Identity

NPI1851780118
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. STEPHANIE MARIE LANDRUMCredential: M.ED., LPC, NCC
Location Address21 EASTBROOK BND STE 110Peachtree City, GA 30269-1546
Mailing Address21 Eastbrook Bnd Ste 110Peachtree City, GA 30269-1546 · (770) 741-2184 · Fax (770) 215-0186
Fax(770) 215-0186
Sole ProprietorNo
Enumeration DateJanuary 9, 2015
Last NPPES UpdateMarch 20, 20247 updates tracked since enumeration
NPPES CertifiedMarch 20, 2024
NPI 1851780118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC009832
21 EASTBROOK BND STE 110, Peachtree City, GA 30269

Other Identifiers 1

OtherLPC009832GA · Licensed Professional Counselor

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Stephanie Marie Landrum M.ed., Lpc, Ncc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 15, 2024 through January 15, 2028.

Opt-Out Effective DateJanuary 15, 2024
Opt-Out In Effect ThroughJanuary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Counselor
21 EASTBROOK BND STE 110
PEACHTREE CITY, GA 30269

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 Stephanie Landrum's NPI number?

The NPI number for Stephanie Landrum is 1851780118. It was assigned to this individual provider in the NPPES registry on January 9, 2015.

Where is Stephanie Landrum located?

Stephanie Landrum practices at 21 Eastbrook Bnd Ste 110, Peachtree City, GA 30269. The listed phone number is (770) 741-2184.

What is Stephanie Landrum's specialty?

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

Is Stephanie Landrum enrolled in Medicare?

No. Stephanie Landrum has opted out of Medicare through January 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stephanie Landrum was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.