Georleena Elsie Douglas, LCMHC in Raleigh, NC

Georleena Elsie Douglas, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Raleigh, North Carolina. Her current practice location is 8406 Six Forks Rd Ste 104, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 642-4857.

Georleena Elsie Douglas is licensed to practice in North Carolina (license number 17187) 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 1487315115.

Contact Information

	Georleena Elsie Douglas, LCMHC
	8406 Six Forks Rd Ste 104, Raleigh, NC 27615-3075
	(919) 642-4857
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Georleena Elsie Douglas
Gender	Female
Speciality	Counselor - Mental Health
Location	8406 Six Forks Rd Ste 104, Raleigh, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487315115
Provider Enumeration Date: 01/05/2022
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 8527401132
Enrollment ID: I20240212000916

Medical Identifiers

Medical identifiers for Georleena Elsie Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487315115	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	A17187 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	17187 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Georleena Elsie Douglas allows following entities to bill medicare on her behalf.

Entity Name	Thriveworks Clinical - North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669

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. Georleena Elsie Douglas 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
Georleena Elsie Douglas, LCMHC 65 Lewis Ln, Henderson, NC 27537-5429 Ph: (718) 962-5314	Georleena Elsie Douglas, LCMHC 8406 Six Forks Rd Ste 104, Raleigh, NC 27615-3075 Ph: (919) 642-4857

Reviews and Comments

Counselor in Raleigh, NC

Mr. Duncan Njaramba Kihoro, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8211 Willowglen Dr, Raleigh, NC 27616 Phone: 919-266-7784
Susan L Dowd, MSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4021 Bella Park Trl Apt 418, Raleigh, NC 27613 Phone: 919-798-3419
Jeffrey Alan Simms, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8512 Six Forks Rd Ste 101, Raleigh, NC 27615 Phone: 919-277-0253 Fax: 833-449-5270
James Treires, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 5509 Creedmoor Rd, Raleigh, NC 27612 Phone: 919-573-6520 Fax: 919-573-6555
Kimberly Hope Brandon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6516 Falls Of Neuse Rd Ste 110, Raleigh, NC 27615 Phone: 919-423-2310
Mr. Gabriel Rosenboro, BS CRIMINAL JUSTICE Counselor Medicare: Not Enrolled in Medicare Practice Location: 4400 Old Poole Rd, Raleigh, NC 27610 Phone: 919-268-9660
Victoria Baxter, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 39 Red Ln, Raleigh, NC 27606 Phone: 706-836-1713

Georleena Elsie Douglas, LCMHC - Medicare Counselor in Raleigh, NC