Individual provider Active NPI

Martalyn Grace Stephens-Billingsley, MS, LPC

  • Professional Counselor
  • Riverdale, GA
National Provider Identifier
1639406945
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005528 Issued in GA
Practice address
7000 Kimberly LN
Riverdale, GA 30296-2000
Phone
(678) 643-3653
NPI assigned
Nov 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC005528 GA Primary

Addresses

Primary practice location

7000 Kimberly LN
Riverdale, GA 30296-2000

Mailing address

7000 Kimberly LN
Riverdale, GA 30296-2000
Phone (678) 643-3653

Other identifiers 1

IdentifierTypeStateIssuer
LPC005528OtherGAPROFESSIONAL COUNSELOR NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250109001738 GA Practitioner - Mental Health Counselor 7012448988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7000 Kimberly LN
Riverdale, GA 30296-2000
Phone (470) 579-9450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Pros LLC Professional CurrentSince Aug 1, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1639406945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 KIMBERLY LN",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302962000",
            "telephone_number": "678-643-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 KIMBERLY LN",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302962000",
            "telephone_number": "678-643-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS-BILLINGSLEY",
        "first_name": "MARTALYN",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR NUMBER",
            "identifier": "LPC005528",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

Verify at the official NPI Registry.