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ADRYANE PHILLIPS LPC
NPI 1972828176
Counselor - Professional in Atlanta, GA

Active since March 30, 2010PECOS Enrolled
1919 JOHN WESLEY AVE, ATLANTA, GA 30337(404) 762-9190(404) 762-9101 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Adryane Phillips Lpc NPPES

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

ADRYANE PHILLIPS LPC (NPI 1972828176) is an individual professional provider in Atlanta, Georgia, licensed in Georgia (004970) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1972828176
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameADRYANE PHILLIPSCredential: LPC
Location Address1919 JOHN WESLEY AVEAtlanta, GA 30337-3605
Mailing Address1087 Redan Trail CtStone Mountain, GA 30088-2542 · (770) 378-8106 · Fax (404) 745-8485
Phone(404) 762-9190
Fax(404) 762-9101
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 30, 2010
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1972828176 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 · 004970
1919 JOHN WESLEY AVE, Atlanta, GA 30337
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adryane Phillips Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355830563
PECOS Enrollment IDI20251028004929
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 Reassignment

Medicare enrollment records show Adryane Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Odyssey Family Counseling Center Corporation
Same address
Mental Health
1919 JOHN WESLEY AVENUE
College Park, GA 30337
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1689604605 (404) 762-9190

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MS. SHILPA SHAH LPC
Counselor (Professional)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 762-9190
TERI AYEWOH LMSW, CAMS-11
Counselor (Mental Health)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 762-9190
LENA SCAFE LPC, CADCII
Counselor (Professional)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 762-9190
GABRIELLE POINTER
Counselor (Professional)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 762-9190
ANDRE SODJE
Registered Nurse
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 762-9190
SHIANNA CRUZ LAPC
Counselor (Mental Health)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 762-9190
MS. JASMINE SMITH-MARTINEZ LPC
Counselor (Mental Health)
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 762-9190
SARAH ANN OVERTON BA
Student in an Organized Health Care Education/Training Program
1919 JOHN WESLEY AVE
COLLEGE PARK, GA 30337
Fulton County (404) 762-9190

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 Adryane Phillips's NPI number?

The NPI number for Adryane Phillips is 1972828176. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Where is Adryane Phillips located?

Adryane Phillips practices at 1919 John Wesley Ave, Atlanta, GA 30337. The listed phone number is (404) 762-9190.

What is Adryane Phillips's specialty?

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

Is Adryane Phillips enrolled in Medicare?

Yes. Adryane Phillips is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Adryane Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adryane Phillips reassigns Medicare benefits to Odyssey Family Counseling Center Corporation (College Park, GA). The 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 Adryane Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Adryane Phillips was last updated on November 1, 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.