Genevieve Brienne Ellis, LPC in Woodstock, GA - Medicare Counselor Provider

Genevieve Brienne Ellis, LPC is a medicare enrolled "Counselor - Professional" provider in Woodstock, Georgia. Her current practice location is 100 Stoneforest Dr Ste 230, Woodstock, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 389-8100.

Genevieve Brienne Ellis is licensed to practice in Georgia (license number LPC014369) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104537380.

Contact Information

	Genevieve Brienne Ellis, LPC
	100 Stoneforest Dr Ste 230, Woodstock, GA 30189-4903
	(770) 389-8100
	Not Available

Healthcare Provider's Profile

Full Name	Genevieve Brienne Ellis
Gender	Female
Speciality	Counselor - Professional
Location	100 Stoneforest Dr Ste 230, Woodstock, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104537380
Provider Enumeration Date: 12/08/2022
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6002251170
Enrollment ID: I20240228002200

Medical Identifiers

Medical identifiers for Genevieve Brienne Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104537380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	APC007904 (Georgia)	Secondary
101YP2500X	Counselor - Professional	014369 (Georgia)	Secondary
101YP2500X	Counselor - Professional	LPC014369 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Genevieve Brienne Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Genevieve Brienne Ellis, LPC 518 Broughton Dr, Canton, GA 30114-1815 Ph: (404) 907-8044	Genevieve Brienne Ellis, LPC 100 Stoneforest Dr Ste 230, Woodstock, GA 30189-4903 Ph: (770) 389-8100

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Counselor in Woodstock, GA

Ms. Carol Braun Zepf, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4474 Towne Lake Pkwy, Woodstock, GA 30189 Phone: 770-924-8517 Fax: 770-924-4422
Francine Zakiyyah Drewry, CADCII, ICADC, SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Weatherstone Pointe Dr, Woodstock, GA 30188 Phone: 770-899-7316 Fax: 770-727-1970
Kaitlyn Sampson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3235 S Cherokee Ln Bldg 1200, Woodstock, GA 30188 Phone: 678-740-3757
Carla Nelson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 9876 Main St, Suite 100, Woodstock, GA 30188 Phone: 770-516-1050
Marley Fiveash, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 Jordan Dr, Woodstock, GA 30188 Phone: 404-314-4879
Mr. Matthew D. Klein, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3227 S Cherokee Ln, Suite 1320, Woodstock, GA 30188 Phone: 770-516-1050 Fax: 770-516-1300
Christie Poole, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4595 Towne Lake Pkwy, Building 300 Suite 250, Woodstock, GA 30189 Phone: 678-631-7639

Genevieve Brienne Ellis, LPC - Medicare Counselor in Woodstock, GA