Elizabeth Ream, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3643 Issued in GA

Practice address

120 Handley Rd Ste 310
Tyrone, GA 30290-2173

Phone

(770) 301-1502

Fax

(770) 486-1067

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Family Psychiatry

  • Professional Counselor
  • Tyrone, GA
  • NPI 1841379740

  Mental Health

  NPD (past)
• Suvrat J Bhargave MD PC

  • Psychiatry Physician
  • Tyrone, GA
  • NPI 1952433864
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1144378605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HANDLEY RD STE 310",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902173",
            "telephone_number": "770-301-1502",
            "fax_number": "770-486-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HANDLEY RD STE 310",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902173",
            "telephone_number": "770-301-1502",
            "fax_number": "770-486-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAM",
        "first_name": "ELIZABETH",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "3643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158209299A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R&K Medcal Weight Loss Clinic
• Ninoshka Rabsatt-Smith, PT, DPT
• Kristin M Railey
• Idesta Ralph
• Scott Rappe, D.O.
• Juliane Simone Reynolds, D.D.S.
• Roseann Rhoda, RPH
• Jeneen Ridgeway, D.C.
• Tia Rivers
• Elizabeth S. Roberts, LPC

• Professional Counselor in Tyrone, GA
• Providers in Tyrone, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.