SOUTHEAST GEORGIA COUNSELING & PLAY THERAPY, LLC
NPI 1902576119
Counselor - Professional in Kingsland, GA
About Southeast Georgia Counseling & Play Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST GEORGIA COUNSELING & PLAY THERAPY, LLC (NPI 1902576119) is a healthcare organization registered as a professional in Kingsland, Georgia and active in the NPI registry since September 2021. The organization lists Lindsay Bottoms, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeast Georgia Counseling & Play Therapy, 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 Southeast Georgia Counseling & Play Therapy, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Southeast Georgia Counseling & Play Therapy, LLC's NPI number?
The NPI number for Southeast Georgia Counseling & Play Therapy, LLC is 1902576119. It was assigned to this organization in the NPPES registry on September 18, 2021.
Where is Southeast Georgia Counseling & Play Therapy, LLC located?
Southeast Georgia Counseling & Play Therapy, LLC is located at 1202 Hospitality Ave Ste C, Kingsland, GA 31548. The listed phone number is (912) 510-6250.
What is Southeast Georgia Counseling & Play Therapy, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Southeast Georgia Counseling & Play Therapy, LLC enrolled in Medicare?
Yes. Southeast Georgia Counseling & Play Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Georgia Counseling & Play Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Southeast Georgia Counseling & Play Therapy, 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 Southeast Georgia Counseling & Play Therapy, LLC was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Southeast Georgia Counseling & Play Therapy, Llc · NPI 1902576119
Professional organization in Kingsland, Georgia. Organization record, active in the CMS NPPES registry since September 18, 2021.
## Identity
- **NPI:** 1902576119 (Entity type: Organization)
- **Enumerated:** September 18, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Lindsay Bottoms, OWNER
## Practice location
- **Address:** 1202 HOSPITALITY AVE STE C, Kingsland, GA 31548-6998
- **Phone:** (912) 510-6250 · **Fax:** (912) 510-6960
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902576119) · Data from the CMS NPPES public registry.