Meredith Lynn Hrebenak, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC010565 Issued in GA

Practice address

225 Reformation Pkwy Ste 200
Canton, GA 30114-2915

Phone

(470) 250-4218

Fax

(470) 250-4898

NPI assigned

May 17, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 30, 2024 through Jan 30, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• Creative Life Center, LLC

  • Geriatric Psychiatry Physician
  • Grayson, GA
  • NPI 1780227140
  NPD (past)
• Life Healing Center PC

  • Psychiatry Physician
  • Snellville, GA
  • NPI 1104149160
  NPD (past)

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661558400000",
    "number": "1235586504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 REFORMATION PKWY STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142915",
            "telephone_number": "470-250-4218",
            "fax_number": "470-250-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 REFORMATION PKWY STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142915",
            "telephone_number": "470-250-4218",
            "fax_number": "470-250-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HREBENAK",
        "first_name": "MEREDITH",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2022-08-27",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC010565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Hotaling, LMSW
• Fallon Houk, FNP
• Housern
• Briana Howard, RN, WHNP
• Christopher Scott Howard, D.C.,R.N.
• Kevin Adam Hsieh, PHARM.D.
• Teresa Huber, FNP
• Amy Salness Hubert, M.D.
• Michael Douglas Huffer, D.M.D.
• Brian Edward Hughes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2022; 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.