MARYAM CLYBURN LPC
NPI 1992380281
Counselor - Professional in Grayson, GA

Q: What is Maryam Clyburn's NPI number?

The NPI number for Maryam Clyburn is 1992380281. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Q: What is Maryam Clyburn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maryam Clyburn was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 17, 2021PECOS Enrolled

1128 LAKEVIEW RD, GRAYSON, GA 30017(770) 265-7076 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maryam Clyburn Lpc NPPES

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

MARYAM CLYBURN LPC (NPI 1992380281) is an individual professional provider in Grayson, Georgia, licensed in Georgia (LPC001868) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992380281

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMARYAM CLYBURNCredential: LPC

Location Address1128 LAKEVIEW RDGrayson, GA 30017-1143

Mailing Address1128 Lakeview RdGrayson, GA 30017-1143 · (770) 978-9393

Phone(770) 265-7076

Sole ProprietorYes

Enumeration DateMarch 17, 2021

NPPES CertifiedMarch 17, 2021

✔ NPI 1992380281 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 · LPC001868

1128 LAKEVIEW RD, Grayson, GA 30017

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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 Maryam Clyburn's NPI number?

The NPI number for Maryam Clyburn is 1992380281. It was assigned to this individual provider in the NPPES registry on March 17, 2021.

Where is Maryam Clyburn located?

Maryam Clyburn practices at 1128 Lakeview Rd, Grayson, GA 30017. The listed phone number is (770) 265-7076.

What is Maryam Clyburn's specialty?

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

Is Maryam Clyburn enrolled in Medicare?

Yes. Maryam Clyburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryam Clyburn was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.